Con Encanto Healthcare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CON ENCANTO HEALTHCARE, LLC

Practice address

131 W Clark Ave Ste a-3
Pharr, TX 78577-3842

Phone

(956) 685-5081

Fax

(956) 685-5082

NPI assigned

Jul 15, 2011

Organization subpart

No

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

Authorized official

Name

Edgardo Rodriguez

Title

Owner

Phone

(956) 685-5081

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747802

Legal name

CON ENCANTO HEALTHCARE, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 4, 2012

Last certification

Nov 13, 2018

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jul 11, 2011 in TX

Enrollment address

131 W Clark Ave
# A-3
Pharr, TX 78577-3842

Listed as

Con Encanto Healthcare LLCCCN 747802

Ownership

Proprietary

Certified

Dec 4, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, 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

Locations

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.

Affiliated clinicians 1

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

• Raul A. Martinez, M.D.

  • Cardiovascular Disease Physician
  • Edinburg, TX
  • NPI 1285641704

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1649568221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 W CLARK AVE STE A-3",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785773842",
            "telephone_number": "956-685-5081",
            "fax_number": "956-685-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 W CLARK AVE STE A-3",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785773842",
            "telephone_number": "956-685-5081",
            "fax_number": "956-685-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CON ENCANTO HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "EDGARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-685-5081"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "014524",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kristine P Cody, DDS
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• Jerry Eugene Cormier, APT; CRTS
• Shalom Yael Corona, SLP-INTERN
• Jesus E Corpus, EMT-LP, RN, MSN, FNP

• Home Health Agency in Pharr, TX
• Providers in Pharr, 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 May 15, 2023; 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.