All Valley Health Care Inc.

Organization Active NPI Home Health Agency · Donna, TX

NPI 1720079494 · NPPES record last updated Apr 26, 2020

Key facts

NPI
1720079494
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
009099 (TX)
Legal business name
ALL VALLEY HEALTH CARE INC.
Practice address
2115 Lott Rd
Suite B
Donna, TX 78537-5633
Phone
(956) 783-4746
Fax
(956) 783-7831
NPI assigned
Nov 2, 2005
Organization subpart
No

Authorized official

Name
Mr. Jose Ernesto Lugo Jr.
Title
President
Phone
(956) 464-7741

Affiliated clinicians 10

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

Medicare Care Compare: Home health agency

Listed as
New Life Home Health Services CCN 453185
Overall star rating
★★★★☆ 3.5 of 5
Ownership
Proprietary
Certified
Nov 16, 2004
Medicare certification status
Active (Provider of Services file)
Services
Nursing, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0902748New Life Home Health Services
1815 South FM 493, Donna, TX 78537
Certificate of waiverJun 27, 2028
45D1025383New Life Home Health Services
1815 South FM 493, Donna, TX 78537
Certificate of waiverMay 4, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Home health agency certification: CCN 453185

Legal name
ALL VALLEY HEALTH CARE INC.
Doing business as
NEW LIFE HOME HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 16, 2004
Last certification
May 9, 2019
Ownership / control type
Proprietary
Organization structure
Corporation · Proprietary
Incorporated
Dec 31, 2003 in TX
Enrollment address
1815 South FM 493
Suite D
Donna, TX 78537

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Elisa Pena
Individual
W-2 Managing Employee
Director of Nursing
Dec 26, 2011
Monica de la Rosa
Individual
W-2 Managing Employee
Alternate Director of Nursing
Nov 1, 2022
Carlos Lugo
Individual
Corporate Director
Alternate Administrator
Mar 3, 2014
Jose Lugo
Individual
5% Or Greater Direct Ownership Interest Dec 31, 2003 100%
Corporate Officer Dec 31, 2003 100%
Corporate Director
President
Dec 31, 2003 100%
Operational/Managerial Control
Administrator
Mar 3, 2014 100%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20060217000039 TX Part a Provider - Home Health Agency 3870508583 Practice locations: Donna, TX

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009099 TX Yes

Addresses

Primary practice location

2115 Lott Rd
Suite B
Donna, TX 78537-5633

Mailing address

2115 Lott Rd
Donna, TX 78537-5633
Phone (956) 464-7741

Other identifiers

IdentifierTypeStateIssuer
179152702OtherTXTPI
009099OtherTXMEDICARE LICENSE NUMBER
45D1025383OtherTXCLIA
SW22445OtherTXSUBMITTER ID

Other providers in Donna, TX

All providers in Donna, TX · Home Health Agency in Texas

Sources for this page

Verify at the official NPI Registry.