My Own Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

018026 Issued in TX

Legal business name

MY OWN HOSPICE LLC

Doing business as

OpusCare of Texas

Practice address

8207 Callaghan Rd Ste 400a
San Antonio, TX 78230-4735

Phone

(210) 988-1461

Fax

(210) 404-9887

NPI assigned

May 19, 2014

Last updated

Jan 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ismael Roque-Velasco

Title

President and Ceo

Phone

(305) 591-1606

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• OpusCare of Texas Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1558772905. Details of each certification follow.

• CCN 741589 Hospice · Active · Details

Hospice certification: CCN 741589

Legal name

MY OWN HOSPICE LLC

Doing business as

OPUSCARE OF TEXAS

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 3, 2015

Last certification

Oct 21, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Jun 1, 2014 in TX

Enrollment address

8207 Callaghan Rd
Ste 400a
San Antonio, TX 78230-4735

Listed as

Opuscare of TexasCCN 741589 · All quality measures

Ownership

For-Profit

Certified

Dec 3, 2015

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 13

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

Owners & managing parties with NPI records 1

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

• Veena Kommera Reddy, M.D.

  • Internal Medicine Physician
  • Corpus Christi, TX
  • NPI 1174566590

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 2

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

• Magnolia Hospice, LLC

  dba OpusCare of Georgia

  • Community Based Hospice Care Agency
  • Conyers, GA
  • NPI 1396169074

  Opus Care Management LLC, Opuscare Holdings LLC, Roque Opus 13 Holdings LLC, Tenderseas, Inc.

  CMS ownership
• Opuscare of Florida LLC

  • Community Based Hospice Care Agency
  • Miami, FL
  • NPI 1033753793

  Opus Care Management LLC, Opuscare Holdings LLC, Roque Opus 13 Holdings LLC

  CMS ownership

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dana F Mircovich, FNP

  • Family Nurse Practitioner
  • Aransas Pass, TX
  • NPI 1275194649
  Medicare reassignment NPD
• Daniela Nikole Ramirez, FNP-C

  • Family Nurse Practitioner
  • Corpus Christi, TX
  • NPI 1104571587
  Medicare reassignment NPD
• Homero Almaraz, NP-C

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1871072611
  NPD (past)

Affiliated clinicians 7

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

• Humberto F Nunez Uriburu, M.D.

  • Family Medicine Physician
  • McAllen, TX
  • NPI 1992952261

  Hospice

  Care Compare affiliation
• Olga Maria Olivares-Herrera, MD

  • Family Medicine Physician
  • McAllen, TX
  • NPI 1437193836

  Hospice

  Care Compare affiliation
• Jose Adan Pena

  • Internal Medicine Physician
  • Harlingen, TX
  • NPI 1174987820

  Hospice

  Care Compare affiliation
• Veena Kommera Reddy, M.D.

  • Internal Medicine Physician
  • Corpus Christi, TX
  • NPI 1174566590

  Hospice

  Care Compare affiliation
• Jaime Ruiz-Perez, MD, MPH

  • Family Medicine Physician
  • Edinburg, TX
  • NPI 1326171307

  Hospice

  Care Compare affiliation
• George Wilcox, DO

  • Hospitalist Physician
  • San Antonio, TX
  • NPI 1609973650

  Hospice

  Care Compare affiliation
• Abdul N Ftesi, M.D.

  • Hospitalist Physician
  • Oklahoma City, OK
  • NPI 1720230410

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1558772905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 SW 80TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331434931",
            "telephone_number": "305-591-1606",
            "fax_number": "305-591-1618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8207 CALLAGHAN RD STE 400A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304735",
            "telephone_number": "210-988-1461",
            "fax_number": "210-404-9887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY OWN HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-19",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "ROQUE-VELASCO",
        "authorized_official_first_name": "ISMAEL",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "305-591-1606"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "018026",
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CCN",
            "identifier": "741589",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OpusCare of Texas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OpusCare of Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.