Organization Active NPI

CFHC No21 Inc

  • Community Based Hospice Care Agency
  • San Antonio, TX
National Provider Identifier
1720741085
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CFHC NO21 INC
Practice address
5805 Callaghan Rd Ste 104B
San Antonio, TX 78228-1127
Phone
(210) 255-1086
NPI assigned
Oct 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Authorized official

Name
Yolanda S Garza, RN
Title
Ceo
Phone
(210) 255-1086

Specialties & licenses 1

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

Addresses

Primary practice location

5805 Callaghan Rd Ste 104B
San Antonio, TX 78228-1127

Mailing address

5805 Callaghan Rd Ste 104B
San Antonio, TX 78228-1127
Phone (210) 255-1086

Other names 1

  • All Faith Hospice Care, Inc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220426000643 TX Part A Provider - Hospice 7315334190 Practice locations: San Antonio, TX

Hospice certification: CCN A91677

Legal name
CFHC NO21 INC
Doing business as
ALL FAITH HOSPICE CARE, INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 28, 2023
Last certification
Sep 15, 2023
Organization structure
CorporationProprietary
Incorporated
Oct 7, 2021 in TX
Enrollment address
5805 Callaghan Rd
Ste 104B
San Antonio, TX 78228-1127

Care Compare: Hospice

Medicare Care Compare
Listed as
All Faith Hospice Care, IncCCN A91677
Certified
Sep 28, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

5805 Callaghan Rd
Ste 104B
San Antonio, TX 78228
Phone (210) 255-1086

2819 NW Loop 410
Ste U
San Antonio, TX 78230

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Daniel L Martinez Individual 5% Or Greater Direct Ownership InterestCfo May 22, 2024 25%
Corporate OfficerChief Financial Officer May 22, 2024
Corporate DirectorTreasurer May 22, 2024
Yolanda Garza Individual 5% Or Greater Direct Ownership InterestPresident/Ceo May 22, 2024 25%
Corporate OfficerPresident/Ceo May 22, 2024
Corporate DirectorPresident/Ceo May 22, 2024
W-2 Managing EmployeeAlt Adm/Don May 22, 2024
Alicia Montelongo Individual 5% Or Greater Direct Ownership InterestCoo/Vice-President May 22, 2024 50%
Corporate OfficerCoo/Vice-President May 22, 2024
Corporate DirectorCoo/Vice-President May 22, 2024
W-2 Managing EmployeeAd; May 22, 2024

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1720741085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 CALLAGHAN RD STE 104B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281127",
            "telephone_number": "210-255-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 CALLAGHAN RD STE 104B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281127",
            "telephone_number": "210-255-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CFHC NO21 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-255-1086",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Faith Hospice Care, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.