Organization Active NPI

SJ Hospice Services LLC

  • Community Based Hospice Care Agency
  • Weslaco, TX
National Provider Identifier
1639608524
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SJ HOSPICE SERVICES LLC
Practice address
315 W Business 83
Weslaco, TX 78596-5953
Phone
(956) 294-1410
Fax
(956) 375-2129
NPI assigned
Jun 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Authorized official

Name
Jose Ramos
Title
Administrator
Phone
(956) 294-1410

Specialties & licenses 1

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

Addresses

Primary practice location

315 W Business 83
Weslaco, TX 78596-5953

Mailing address

315 W Business 83
Weslaco, TX 78596-5953
Phone (956) 294-1410

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171018003595 TX Part A Provider - Hospice 3971879982 Practice locations: Weslaco, TX

Hospice certification: CCN 741710

Legal name
SJ HOSPICE SERVICES LLC
Doing business as
SJ HOSPICE SERVICES LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 10, 2018
Last certification
Mar 10, 2018
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Jun 6, 2017 in TX
Enrollment address
315 W Business 83
Weslaco, TX 78596-5953

Care Compare: Hospice

Medicare Care Compare
Listed as
SJ Hospice Services LLCCCN 741710
Ownership
For-Profit
Certified
Mar 10, 2018
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

315 W Business 83
Weslaco, TX 78596
Phone (956) 294-1410

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Jorge Pina Individual 5% Or Greater Indirect Ownership InterestDirector of Nurses Jun 7, 2019 25%
W-2 Managing EmployeeDirector of Nurses Jun 7, 2019 25%
Priscilla Garza Individual Operational/Managerial ControlAlternate Administrator Mar 22, 2024 25%
Smiriam Limon Individual 5% Or Greater Direct Ownership Interest Jun 6, 2017 100%
Corporate DirectorOwner Aug 30, 2017
W-2 Managing EmployeeAd; Sep 19, 2024 25%
Operational/Managerial ControlOwner Aug 3, 2017 100%
Stanley P Sy Individual W-2 Managing EmployeeMD; Mar 22, 2024
Jose Castillo Individual 5% Or Greater Indirect Ownership InterestAlternate Director of Nurses Jun 7, 2019 25%
W-2 Managing EmployeeAlternate Director of Nurses Jun 7, 2019 25%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

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": "1496620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1639608524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W BUSINESS 83",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785965953",
            "telephone_number": "956-294-1410",
            "fax_number": "956-375-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W BUSINESS 83",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785965953",
            "telephone_number": "956-294-1410",
            "fax_number": "956-375-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJ HOSPICE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-05",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-294-1410"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

Verify at the official NPI Registry.