San Jose Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SAN JOSE HOSPICE LLC

Doing business as

San Jose Hospice Care

Practice address

121 E Park Ave Ste a
Pharr, TX 78577-4849

Phone

(956) 783-5673

Fax

(844) 590-1030

NPI assigned

Sep 1, 2020

Organization subpart

No

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

Authorized official

Name

Elma C Lozano

Title

Owner

Phone

(956) 783-5673

Specialties & licenses 1

Addresses

Other names 1

• San Jose Hospice Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 971751

Legal name

SAN JOSE HOSPICE LLC

Doing business as

SAN JOSE HOSPICE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 15, 2021

Last certification

Dec 15, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Jul 15, 2020 in TX

Enrollment address

121 E Park Ave
Ste a
Pharr, TX 78577-4849

Listed as

San Jose Hospice CareCCN 971751 · All quality measures

Ownership

For-Profit

Certified

Dec 15, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Ivan G Melendez, M.D.

  • Family Medicine Physician
  • McAllen, TX
  • NPI 1568447233

  Operational/Managerial Control

  CMS ownership

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1730793365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E PARK AVE STE A",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785774849",
            "telephone_number": "956-783-5673",
            "fax_number": "844-590-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E PARK AVE STE A",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785774849",
            "telephone_number": "956-783-5673",
            "fax_number": "844-590-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOSE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "LOZANO",
        "authorized_official_first_name": "ELMA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-783-5673"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Jose Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suliman Mohammed Salman, DMD, MS
• Salud Family Practice PLLC (Optimum-Men's Health)
• Sam Houston Pharmacy & Medical Equipment
• Samuels Valley Pediatric Services, PLLC
• San Jose Health Care, LLC (San Jose Home Care)
• Marisela G. Sanchez, OTR
• Monica Hernandez Sanchez, LCSW
• Celina Angelica Sanchez, PA
• Sandra Zapata-Benavides
• Sandstone Health Care, Inc

• Community Based Hospice Care Agency in Pharr, TX
• Providers in Pharr, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.

Verify at the official NPI Registry.