NPIMap

Organization Active NPI

Reeves County Hospital District

Doing business as Reeves Regional Home Health & Hospice

  • Community Based Hospice Care Agency
  • Pecos, TX
National Provider Identifier
1508305442
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
002030 Issued in TX
Legal business name
REEVES COUNTY HOSPITAL DISTRICT
Doing business as
Reeves Regional Home Health & Hospice
Practice address
2349 Medical Drive
Pecos, TX 79772
Phone
(432) 447-3551
Fax
(432) 447-5434
NPI assigned
Feb 13, 2017
Last updated
Mar 24, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
REEVES COUNTY HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brenda K McKinney
Title
Ceo
Phone
(432) 447-3551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 002030 TX Primary

Addresses

Primary practice location

2349 Medical Drive
Pecos, TX 79772

Mailing address

2349 Medical Drive
Pecos, TX 79772
Phone (432) 447-3551

Other names 1

  • Reeves Regional Home Health & Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170412000285 TX Part A Provider - Hospice 2567353469 Practice locations: Pecos, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508305442. Details of each certification follow.

Hospice certification: CCN 451660

Legal name
REEVES COUNTY HOSPITAL DISTRICT
Doing business as
REEVES REGIONAL HOME HEALTH & HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 10, 1996
Last certification
May 13, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
OtherNon-profit
Enrollment address
2349 Medical Dr
Pecos, TX 79772-2251

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Reeves Regional Home Health & HospiceCCN 451660 · All quality measures
Ownership
Other
Certified
Dec 10, 1996
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Part of
Shannon P Starr MD

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Hugh Box Individual Corporate DirectorBoard Member May 19, 2011
Pablo Carrasco Individual Corporate DirectorBoard Member May 27, 2003
Lily Serrano Individual Corporate DirectorBoard Member Nov 17, 2020
Armando Mondragon Individual Corporate DirectorBoard Member Sep 12, 2017
Reeves County Hospital District Organization, Pecos, TX Operational/Managerial Control Mar 16, 2017
Steven Valenzuela Individual Corporate DirectorBoard Member May 22, 2018
Kristian Millan Individual W-2 Managing EmployeeExecutive Assistant Nov 1, 2022
Brenda McKinney Individual W-2 Managing Employee Mar 16, 2017

Owners & managing parties with NPI records 6

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Reeves Regional Home Health & HospicePecos, TX, CCN 677210 Home health agency Operational/Managerial Control Mar 16, 2017
Reeves Regional Rural Health ClinicPecos, TX, CCN 458579 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 17, 1995
Jan 17, 1995

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Change-of-ownership history 1

DateEventCounterparty
Mar 16, 2017 Change of OwnershipThis provider was the buyer American Home Health and HospiceCCN 451660, TX, NPI 1811985336

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1508305442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2349 MEDICAL DRIVE",
            "city": "PECOS",
            "state": "TX",
            "postal_code": "79772",
            "telephone_number": "432-447-3551",
            "fax_number": "432-447-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2349 MEDICAL DRIVE",
            "city": "PECOS",
            "state": "TX",
            "postal_code": "79772",
            "telephone_number": "432-447-3551",
            "fax_number": "432-447-5434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEVES COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REEVES COUNTY HOSPITAL DISTRICT",
        "enumeration_date": "2017-02-13",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "432-447-3551"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "002030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reeves Regional Home Health & Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pecos, TX

Sources for this page

Verify at the official NPI Registry.