Sun City Envision Healthcare Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SUN CITY ENVISION HEALTHCARE SERVICES, INC.

Doing business as

Envision Home Care

Practice address

8929 Viscount Blvd
Upper Level
El Paso, TX 79925-5827

Phone

(915) 778-0028

Fax

(915) 778-0013

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Juan Ramon Carmona, MBA

Title

Administrator

Phone

(915) 778-0028

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Envision Home Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 743117

Legal name

SUN CITY ENVISION HEALTHCARE SERVICES, INC

Doing business as

ENVISION HOME CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 30, 2008

Last certification

Dec 6, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Aug 8, 2006 in TX

Enrollment address

8929 Viscount Blvd
Upper Level
El Paso, TX 79925-5827

Other NPIs with the same Medicare PAC ID 1

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

• Sun City Envision Healthcare Services, Inc

  • Community Based Hospice Care Agency
  • El Paso, TX
  • NPI 1063587707

  3173617248

  Same PAC ID

Listed as

Envision Home CareCCN 743117 · All quality measures

Overall star rating

1 of 5

Ownership

Proprietary

Certified

May 30, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Sun City Envision Healthcare Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Envision Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • El Paso, TX
  • NPI 1073522686
  NPD tax ID
• Sun City Envision Healthcare Services, Inc

  • Community Based Hospice Care Agency
  • El Paso, TX
  • NPI 1063587707
  NPD tax ID

All disclosed owners & managing parties 4

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

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Lauro Ivan Ortega, M.D.

  • Internal Medicine Physician
  • El Paso, TX
  • NPI 1467890772

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1538296181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8929 VISCOUNT BLVD",
            "address_2": "UPPER LEVEL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255827",
            "telephone_number": "915-778-0028",
            "fax_number": "915-778-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8929 VISCOUNT BLVD",
            "address_2": "UPPER LEVEL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799255827",
            "telephone_number": "915-778-0028",
            "fax_number": "915-778-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY ENVISION HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "CARMONA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "RAMON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "915-778-0028",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195374701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Envision Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sun City Behavioral Health Care
• Sun City Dental, PLLC
• Sun City Dermatology, PA
• Sun City Dietitians
• Sun City Envision Healthcare Services, Inc
• Sun City Envision Home Medical Equipment, LLC
• Sun City Eye Care
• Sun City Family Medical Clinic
• Sun City Family Physicians, P.a.
• Sun City Gastroenterology and Hepatology PLLC

• Home Health Agency in El Paso, TX
• Providers in El Paso, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.