Organization Active NPI

Grandview Hospice Inc

  • Community Based Hospice Care Agency
  • El Paso, TX
National Provider Identifier
1720549876
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GRANDVIEW HOSPICE INC
Practice address
4141 Pinnacle St Ste 209
El Paso, TX 79902-1042
Phone
(915) 240-7988
Fax
(915) 534-7874
NPI assigned
Mar 29, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Authorized official

Name
Bryan C Zuniga
Title
Executive Director
Phone
(915) 240-7988

Specialties & licenses 1

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

Addresses

Primary practice location

4141 Pinnacle St Ste 209
El Paso, TX 79902-1042

Mailing address

4141 Pinnacle St Ste 209
El Paso, TX 79902-1042
Phone (915) 240-7988

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210223002870 TX Part A Provider - Hospice 8729493812 Practice locations: El Paso, TX

Hospice certification: CCN 971785

Legal name
GRANDVIEW HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 28, 2022
Last certification
Jul 28, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Mar 19, 2019 in TX
Enrollment address
4141 Pinnacle St
Ste 209
El Paso, TX 79902-1042

Care Compare: Hospice

Medicare Care Compare
Listed as
Grandview Hospice Inc.CCN 971785
Ownership
For-Profit
Certified
Jul 28, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

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
Lizabeth Morales Individual W-2 Managing EmployeeAlternate Administrator Mar 19, 2019
Carlos Zuniga Individual 5% Or Greater Direct Ownership InterestCeo Mar 19, 2019 50%
Corporate OfficerCeo Mar 19, 2019 50%
Operational/Managerial ControlCeo Mar 19, 2019 50%
Scott Heri Individual 5% Or Greater Direct Ownership InterestAdministrator Mar 19, 2019 50%
Corporate OfficerAdministrator Mar 19, 2019 50%
Corporate DirectorAdministrator Mar 19, 2019 100%
Operational/Managerial ControlAdministrator Mar 19, 2019 50%
Bryan Zuniga Individual W-2 Managing EmployeeOperations Manager Mar 19, 2019
Grandview Hospice Inc Organization, El Paso, TX LLC 5% Or Greater Direct Ownership Interest Mar 19, 2019 100%
Operational/Managerial Control Mar 19, 2019 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553817600000",
    "number": "1720549876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 PINNACLE ST STE 209",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021042",
            "telephone_number": "915-240-7988",
            "fax_number": "915-534-7874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 PINNACLE ST STE 209",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799021042",
            "telephone_number": "915-240-7988",
            "fax_number": "915-534-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDVIEW HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A",
        "authorized_official_last_name": "ZUNIGA",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "915-240-7988"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.