NPIMap

Organization Active NPI

Hospice Specialty, Inc.

  • Community Based Hospice Care Agency
  • Laredo, TX
National Provider Identifier
1740602135
Registry record updated Jan 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE SPECIALTY, INC.
Practice address
1220 Scott St
Laredo, TX 78040-6356
Phone
(956) 740-0106
NPI assigned
Jan 20, 2014
Last updated
Jan 20, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2014

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

Authorized official

Name
Ms. Patricia Guajardo
Title
Owner/Alt Admin
Phone
(956) 740-0106

Specialties & licenses 1

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

Addresses

Primary practice location

1220 Scott St
Laredo, TX 78040-6356

Mailing address

1220 Scott St
Laredo, TX 78040-6356
Phone (956) 740-0106

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141003001890 TX Part A Provider - Hospice 4981824455 Practice locations: Laredo, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740602135. Details of each certification follow.

Hospice certification: CCN 741544

Legal name
HOSPICE SPECIALTY INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 26, 2015
Last certification
Dec 9, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Dec 31, 2021 in TX
Enrollment address
1220 Scott St
Laredo, TX 78040-6356

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice Specialty IncCCN 741544 · All quality measures
Ownership
For-Profit
Certified
Jan 26, 2015
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2091806Hospice Specialty Inc1220 Scott Street, Laredo, TX 78040Certificate of waiverFeb 18, 2027

National Provider Directory

National Provider Directory

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
Anna Liza Guajardo Individual 5% Or Greater Direct Ownership InterestAdmin, Field Skilled Nurse Jan 10, 2014 33%
Corporate OfficerVP/Adminstrator Jan 10, 2014 33%
Corporate DirectorVP/Adminstrator Jan 10, 2014 33%
W-2 Managing EmployeeVP/Alternate Admin/ Board Member Jan 10, 2014 33%
Operational/Managerial ControlAdmin & Don May 28, 2014 50%
Maria Guajardo Individual 5% Or Greater Direct Ownership InterestManagerial, Filing, Ordering Off Jan 10, 2014 33%
Corporate OfficerChief Financial Officer Jan 10, 2014 33%
W-2 Managing EmployeeChief Financial Officer Jan 10, 2014 33%
Patricia Guajardo Individual 5% Or Greater Direct Ownership Interest Jan 10, 2014 34%
Corporate OfficerPresident/Alternate Adminstator Jan 10, 2014 34%
Corporate DirectorPresident/Alternate Adminstator Jan 10, 2014 34%
W-2 Managing EmployeePresident/Alternate Adminstator Jan 10, 2014 34%
Operational/Managerial ControlAlt Admin & Field Skilled Nurse Jan 10, 2014 50%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1390176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390176000000",
    "number": "1740602135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 SCOTT ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780406356",
            "telephone_number": "956-740-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 SCOTT ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780406356",
            "telephone_number": "956-740-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE SPECIALTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-20",
        "last_updated": "2014-01-20",
        "status": "A",
        "authorized_official_last_name": "GUAJARDO",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER/ALT ADMIN",
        "authorized_official_telephone_number": "956-740-0106",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.