Maverick Adult Day Care LLC.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

009852 Issued in TX

Legal business name

MAVERICK ADULT DAY CARE LLC.

Doing business as

Haven Hospice

Practice address

2557 N Veterans Blvd Ste E
Eagle Pass, TX 78852-3390

Phone

(830) 757-0966

Fax

(830) 757-0976

NPI assigned

Jul 6, 2006

Last updated

Jan 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gerardo Villalpando

Title

Cfo

Phone

(830) 757-0966

Specialties & licenses 2

Addresses

Other names 1

• Haven Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770515561. Details of each certification follow.

• CCN 451745 Hospice · Active · Details

Hospice certification: CCN 451745

Legal name

MAVERICK ADULT DAY CARE LLC

Doing business as

HAVEN HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 27, 2004

Last certification

Aug 31, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Nov 1, 2004 in TX

Enrollment address

2557 N Veterans Blvd
Ste E
Eagle Pass, TX 78852-3390

Listed as

Haven HospiceCCN 451745 · All quality measures

Ownership

Other

Certified

Jan 27, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

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.

• Claudia Alicia Auces-Santana, FNP-BC

  • Family Nurse Practitioner
  • Eagle Pass, TX
  • NPI 1831499748

  5% Or Greater Direct Ownership Interest, Corporate Officer

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raphael Santana, FNP

  • Family Nurse Practitioner
  • Eagle Pass, TX
  • NPI 1417348186
  NPD (past)

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Ricardo Cosme Aguilar Jr., M.D.

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1467439265

  Hospice

  Care Compare affiliation
• Cruz Alberto Bernal Jr., M.D

  • Family Medicine Physician
  • Eagle Pass, TX
  • NPI 1023402575

  Hospice

  Care Compare affiliation
• Laura Givens, MD

  • Family Medicine Physician
  • Boerne, TX
  • NPI 1902957046

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1770515561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2557 N VETERANS BLVD STE E",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788523390",
            "telephone_number": "830-757-0966",
            "fax_number": "830-757-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2557 N VETERANS BLVD STE E",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788523390",
            "telephone_number": "830-757-0966",
            "fax_number": "830-757-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVERICK ADULT DAY CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "VILLALPANDO",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "830-757-0966",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009852",
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "009852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Martinez
• Hilda Patricia Martinez
• Jorge Alberto Martinez Jr.
• Maria Luisa Mauricio
• Maverick Adult Day Care L.L.C. (Fort Duncan Home Health and Hospice Care)
• Maverick Adult Day Care, LLC (Eagle Pass Therapy Services)
• Maverick Ambulance Service, Inc
• Maverick County Association for Persons With Disabilities
• Maverick County Hospital District
• Maverick County Hospital District (MCHD Specialty Group)

• Community Based Hospice Care Agency in Eagle Pass, TX
• Providers in Eagle Pass, 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 15, 2025; 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.