NPIMap

Organization Active NPI

Cuidado Casero Home Health of El Paso, Inc

  • Community Based Hospice Care Agency
  • El Paso, TX
National Provider Identifier
1760678775
Registry record updated Jun 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
005897 Issued in TX
Legal business name
CUIDADO CASERO HOME HEALTH OF EL PASO, INC
Practice address
1617 E Missouri Ave
El Paso, TX 79902-5616
Phone
(915) 772-7177
Fax
(915) 772-6447
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2020

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

Authorized official

Name
Dr. Carmen Santiago, DRPH
Title
Ceo
Phone
(817) 310-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 005897 TX Primary

Addresses

Primary practice location

1617 E Missouri Ave
El Paso, TX 79902-5616

Mailing address

1110 N Carroll Ave
Southlake, TX 76092-5306
Phone (817) 310-1100

Other identifiers 1

IdentifierTypeStateIssuer
005897OtherTXSTATE LICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090224000438 TX Part A Provider - Hospice 7911801659 Practice locations: El Paso, TX

Hospice certification: CCN 671618

Legal name
CUIDADO CASERO HOME HEALTH OF EL PASO INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 24, 2009
Last certification
May 20, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Sep 16, 1997 in TX
Enrollment address
1617 E Missouri Ave
El Paso, TX 79902-5616

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Cuidado Casero Home Health of El Paso IncCCN 671618 ยท All quality measures
Ownership
For-Profit
Certified
Feb 24, 2009
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Cuidado Casero Home Health El Paso3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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
Carmen Santiago Individual 5% Or Greater Direct Ownership Interest Feb 10, 2009 100%
Corporate OfficerPresident Feb 10, 2019
Corporate DirectorCeo Feb 10, 2009
W-2 Managing Employee Feb 10, 2009 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1760678775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 N CARROLL AVE",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925306",
            "telephone_number": "817-310-1100",
            "fax_number": "817-310-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 E MISSOURI AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025616",
            "telephone_number": "915-772-7177",
            "fax_number": "915-772-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUIDADO CASERO HOME HEALTH OF EL PASO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-310-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DRPH"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "005897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "005897",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.