Mi Maranatha Home Health, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MI MARANATHA HOME HEALTH, INC.

Practice address

4307 N 10TH St Ste a
McAllen, TX 78504-3030

Phone

(956) 683-6219

Fax

(956) 287-3776

NPI assigned

Nov 11, 2010

Organization subpart

No

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

Authorized official

Name

Gabriela Deleon

Title

Adminstrator/Owner

Phone

(956) 683-6219

Specialties & licenses 4

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 747920

Legal name

MI MARANATHA HOME HEALTH INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 24, 2013

Last certification

Oct 4, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Enrollment address

4307 N 10TH St
Ste a
McAllen, TX 78504-3030

Listed as

Maranatha Home HealthCCN 747920

Ownership

Proprietary

Certified

Jul 24, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Tax ID family

Mi Maranatha Home Health Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mi Maranatha Home Health, Inc.

  • Community Based Hospice Care Agency
  • McAllen, TX
  • NPI 1386335735
  NPD tax ID

Locations

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.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Mi Maranatha Home Health, Inc.

  • Community Based Hospice Care Agency
  • McAllen, TX
  • NPI 1386335735
  NPPES parent name

Practitioners 1

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

• Ana B Gutierrez, REGISTERED NURSE

  • Home Health Registered Nurse
  • Mission, TX
  • NPI 1740845312
  NPD

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1811298524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4307 N 10TH ST STE A",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043030",
            "telephone_number": "956-683-6219",
            "fax_number": "956-287-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4307 N 10TH ST STE A",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043030",
            "telephone_number": "956-683-6219",
            "fax_number": "956-287-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI MARANATHA HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "DELEON",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "ADMINSTRATOR/OWNER",
        "authorized_official_telephone_number": "956-683-6219"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "738876",
            "identifier": "738876",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350574501",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Mcallen",
            "affiliation": "N",
            "endpointDescription": "BUSINESS SUITES",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4307 N 10th St Ste A",
            "city": "McAllen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785043030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mi Medex Inc.
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• Mi Valle Health Care, LLC
• Mi Vida Care Center RGV, LLC
• Mi Vida Primary Care LLC

• Home Health Agency in McAllen, TX
• Providers in McAllen, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.