Organization Active NPI

Piedras Home Health, LLC

  • Home Health Agency
  • El Paso, TX
National Provider Identifier
1629674130
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PIEDRAS HOME HEALTH, LLC
Practice address
550 S Mesa Hills Dr Ste B1A
El Paso, TX 79912-5764
Phone
(915) 585-2273
Fax
(888) 558-1718
NPI assigned
Dec 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Authorized official

Name
Kenneth Lomarquez
Title
Owner/President
Phone
(915) 474-0390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

550 S Mesa Hills Dr Ste B1A
El Paso, TX 79912-5764

Mailing address

550 S Mesa Hills Dr Ste B1A
El Paso, TX 79912-5764
Phone (915) 585-2273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211222001845 TX Part A Provider - Home Health Agency 6901297175 Practice locations: El Paso, TX

Home health agency certification: CCN 748088

Legal name
PIEDRAS HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 9, 2023
Last certification
Feb 10, 2023
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 24, 2021 in TX
Enrollment address
550 S Mesa Hills Dr
Ste B1A
El Paso, TX 79912-5764

Care Compare: Home health agency

Medicare Care Compare
Listed as
Piedras Home Health, LLCCCN 748088
Ownership
Proprietary
Certified
Mar 9, 2023
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2226190Piedras Home Health, LLC550 South Mesa Hills, Ste # B1-a, El Paso, TX 79912Certificate of waiverMay 26, 2027

National Provider Directory

National Provider Directory

Locations

550 S Mesa Hills Dr
Ste B1A
El Paso, TX 79912
Phone (915) 585-2273

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Kenneth Lomarquez Individual 5% Or Greater Direct Ownership Interest Jun 24, 2021 100%
Corporate DirectorPresident/Treasurer Jun 24, 2021 100%
W-2 Managing EmployeePresident/Treasurer Jun 24, 2021 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1629674130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S MESA HILLS DR STE B1A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125764",
            "telephone_number": "915-585-2273",
            "fax_number": "888-558-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S MESA HILLS DR STE B1A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125764",
            "telephone_number": "915-585-2273",
            "fax_number": "888-558-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDRAS HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-09",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "LOMARQUEZ",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "915-474-0390"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.