Active NPI
Grandview Hospice Inc
- Community Based Hospice Care Agency
- El Paso, TX
National Provider Identifier
1720549876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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.
- Ownership
- For-Profit
- Certified
- Jul 28, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryOwnership & 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 |
|---|---|---|---|
| Lizabeth Morales | W-2 Managing Employee | Mar 19, 2019 | |
| Carlos Zuniga | 5% Or Greater Direct Ownership Interest | Mar 19, 2019 | 50% |
| Corporate Officer | Mar 19, 2019 | 50% | |
| Operational/Managerial Control | Mar 19, 2019 | 50% | |
| Scott Heri | 5% Or Greater Direct Ownership Interest | Mar 19, 2019 | 50% |
| Corporate Officer | Mar 19, 2019 | 50% | |
| Corporate Director | Mar 19, 2019 | 100% | |
| Operational/Managerial Control | Mar 19, 2019 | 50% | |
| Bryan Zuniga | W-2 Managing Employee | Mar 19, 2019 | |
| Grandview Hospice Inc | 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.
-
- Physical Therapist
- El Paso, TX
- NPI 1063158772
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.