Organization Active NPI

CFHC No18 Inc

  • Community Based Hospice Care Agency
  • San Antonio, TX
National Provider Identifier
1740942663
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CFHC NO18 INC
Practice address
2819 NW Loop 410 Ste R
San Antonio, TX 78230-5105
Phone
(210) 374-6808
NPI assigned
Oct 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Alfred C Perez
Title
Ceo/President
Phone
(210) 374-6808

Specialties & licenses 1

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

Addresses

Primary practice location

2819 NW Loop 410 Ste R
San Antonio, TX 78230-5105

Mailing address

2819 NW Loop 410 Ste R
San Antonio, TX 78230-5105
Phone (210) 374-6808

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220312000240 TX Part A Provider - Hospice 6507251477 Practice locations: San Antonio, TX

Hospice certification: CCN A91562

Legal name
CFHC NO18, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 13, 2023
Last certification
Jan 13, 2023
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Oct 7, 2021 in TX
Enrollment address
2819 NW Loop 410
Suite R
San Antonio, TX 78230-5105

Care Compare: Hospice

Medicare Care Compare
Listed as
Genisa Hospice Integrative Care, Inc.CCN A91562
Certified
Jan 13, 2023
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
45D2240864CFHC No18 Inc/Dba Genisa Hospice Intergrative Care2819 N W Loop 410 Ste R, San Antonio, TX 78230Certificate of waiverOct 21, 2027

National Provider Directory

National Provider Directory

Locations

2819 NW Loop 410
Ste R
San Antonio, TX 78230
Phone (210) 374-6808

2819 NW Loop 410
#R
San Antonio, TX 78230

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Maricela Sosa Individual 5% Or Greater Direct Ownership Interest Jun 1, 2023 100%
Corporate Officer Jun 1, 2023
Corporate Director Jun 1, 2023
W-2 Managing EmployeeAd; Jun 1, 2023

NPI Registry JSON

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1740942663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 NW LOOP 410 STE R",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305105",
            "telephone_number": "210-374-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 NW LOOP 410 STE R",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305105",
            "telephone_number": "210-374-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CFHC NO18 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "210-374-6808"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.