Organization Active NPI

Casa Mia Hospice Care, LLC.

  • Community Based Hospice Care Agency
  • McAllen, TX
National Provider Identifier
1760067565
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CASA MIA HOSPICE CARE, LLC.
Practice address
2223 Primrose Ave
McAllen, TX 78504-4128
Phone
(956) 277-1221
NPI assigned
Mar 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Suzanne D. BalderramaNPI 1154165843
Title
Administrator
Phone
(956) 277-1221

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2223 Primrose Ave
McAllen, TX 78504-4128

Mailing address

2223 Primrose Ave
McAllen, TX 78504-4128
Phone (956) 843-0740

Other practice location 1

5407 S McColl Rd Ste A-1
Edinburg, TX 78539-9145
Phone (956) 843-0740

Other identifiers 2

IdentifierTypeStateIssuer
A91652MedicaidTX
PENDINGMedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211118001775 TX Part A Provider - Hospice 0840689535 Practice locations: McAllen, TX

Hospice certification: CCN A91652

Legal name
CASA MIA HOSPICE CARE, LLC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 25, 2023
Last certification
May 11, 2023
Organization structure
LLCProprietary
Incorporated
Feb 1, 2021 in TX
Enrollment address
2223 Primrose Ave
McAllen, TX 78504-4128

Care Compare: Hospice

Medicare Care Compare
Listed as
Casa Mia Hospice Care, LLC.CCN A91652 · All quality measures
Certified
May 25, 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
45D2225077Casa Mia Hospice Care, LLC2223 Primrose Ave, McAllen, TX 78504Certificate of waiverMay 17, 2027

National Provider Directory

National Provider Directory

Locations

5407 S McColl Rd
Ste A1
Edinburg, TX 78539
Phone (956) 843-0740

2223 Primrose Ave
McAllen, TX 78504
Phone (956) 277-1221

Ownership & related parties

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.

NameRoleSinceShare
Suzanne D Balderrama Gonzalez Individual 5% Or Greater Direct Ownership Interest Feb 1, 2021 50%
General Partnership InterestAdministrator/Owner Feb 1, 2021 50%
Corporate DirectorCeo/Board Member Feb 1, 2021 50%
W-2 Managing EmployeeAd; Feb 1, 2021 50%
Operational/Managerial Control Feb 1, 2021
Talma Hinojosa Individual 5% Or Greater Direct Ownership Interest Feb 1, 2021 50%
General Partnership InterestOwner Feb 1, 2021 50%
Corporate DirectorCfo/Board Member Feb 1, 2021 50%
W-2 Managing EmployeeBoard Member Feb 1, 2021
Kirsten H Estes Individual W-2 Managing EmployeeOperational Control W2 Managing Feb 1, 2021
Operational/Managerial ControlW2 Managing Employee Feb 1, 2021
Mario a Echavarria Individual Contracted Managing EmployeeAd;MD;Alternate MD/Ad Dec 1, 2025
Belinda V Jordan Individual Contracted Managing EmployeeMD; Jul 21, 2022

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1760067565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 PRIMROSE AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044128",
            "telephone_number": "956-843-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 PRIMROSE AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044128",
            "telephone_number": "956-277-1221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5407 S McColl Rd Ste A-1",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785399145",
            "country_code": "US",
            "telephone_number": "956-843-0740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CASA MIA HOSPICE CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "BALDERRAMA",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-277-1221"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A91652",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.