Active NPI
SJ Hospice Services LLC
- Community Based Hospice Care Agency
- Weslaco, TX
National Provider Identifier
1639608524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Ownership
- For-Profit
- Certified
- Mar 10, 2018
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jorge Pina | 5% Or Greater Indirect Ownership Interest | Jun 7, 2019 | 25% |
| W-2 Managing Employee | Jun 7, 2019 | 25% | |
| Priscilla Garza | Operational/Managerial Control | Mar 22, 2024 | 25% |
| Smiriam Limon | 5% Or Greater Direct Ownership Interest | Jun 6, 2017 | 100% |
| Corporate Director | Aug 30, 2017 | ||
| W-2 Managing Employee | Sep 19, 2024 | 25% | |
| Operational/Managerial Control | Aug 3, 2017 | 100% | |
| Stanley P Sy | W-2 Managing Employee | Mar 22, 2024 | |
| Jose Castillo | 5% Or Greater Indirect Ownership Interest | Jun 7, 2019 | 25% |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.