NPIMap

Organization Active NPI

A Special Home Health, LLC

  • Home Health Agency
  • Rio Grande City, TX
National Provider Identifier
1689952913
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
A SPECIAL HOME HEALTH, LLC
Practice address
602 N. Flores St
Rio Grande City, TX 78582-3534
Phone
(956) 488-6828
Fax
(956) 488-6829
NPI assigned
Aug 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Authorized official

Name
Martha Perez, LVN
Title
Administrator
Phone
(956) 353-5374

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

602 N. Flores St
Rio Grande City, TX 78582-3534

Mailing address

P.O. Box 1150
Rio Grande City, TX 78582-1150
Phone (956) 488-6828

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140227001935 TX Part A Provider - Home Health Agency 9931339579 Practice locations: Rio Grande City, TX

Home health agency certification: CCN 747969

Legal name
A SPECIAL HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 20, 2016
Last certification
Feb 12, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Sep 15, 2011 in TX
Enrollment address
602 N Flores St
Rio Grande City, TX 78582-3534

Care Compare: Home health agency

Medicare Care Compare
Listed as
A Special Home Health, LLCCCN 747969
Ownership
Proprietary
Certified
Jan 20, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
45D2066747A Special Home Health LLC602 North Flores Street, Rio Grande City, TX 78582Certificate of waiverOct 2, 2027

National Provider Directory

National Provider Directory

Locations

602 N Flores St
Rio Grande City, TX 78582
Phone (956) 488-6828

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Ramiro Jaime Flores Individual 5% Or Greater Direct Ownership InterestOwner Apr 30, 2019 50%
Martha Perez Individual 5% Or Greater Direct Ownership InterestOwner Sep 15, 2011 50%
Corporate OfficerOwner, Office Coordinator Sep 15, 2011 50%
W-2 Managing EmployeeOwner Sep 15, 2011 50%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1312329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1689952913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1150",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785821150",
            "telephone_number": "956-488-6828",
            "fax_number": "956-488-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 N. FLORES ST",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785823534",
            "telephone_number": "956-488-6828",
            "fax_number": "956-488-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SPECIAL HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-03",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-353-5374",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande City, TX

Sources for this page

Verify at the official NPI Registry.