Active NPI
CFHC No21 Inc
- Community Based Hospice Care Agency
- San Antonio, TX
National Provider Identifier
1720741085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Certified
- Sep 28, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Daniel L Martinez | 5% Or Greater Direct Ownership Interest | May 22, 2024 | 25% |
| Corporate Officer | May 22, 2024 | ||
| Corporate Director | May 22, 2024 | ||
| Yolanda Garza | 5% Or Greater Direct Ownership Interest | May 22, 2024 | 25% |
| Corporate Officer | May 22, 2024 | ||
| Corporate Director | May 22, 2024 | ||
| W-2 Managing Employee | May 22, 2024 | ||
| Alicia Montelongo | 5% Or Greater Direct Ownership Interest | May 22, 2024 | 50% |
| Corporate Officer | May 22, 2024 | ||
| Corporate Director | May 22, 2024 | ||
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.