Gencare Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GENCARE HOSPICE LLC

Practice address

5215 Spruce St
Bellaire, TX 77401-3310

Phone

(713) 935-5775

NPI assigned

Jun 28, 2022

Last updated

Jun 28, 2022By 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

Ma Corazon Ann Garcia, RNNPI 1710389333

Title

Administrator

Phone

(832) 529-3603

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1952033995. Details of each certification follow.

• CCN A91582 Hospice · Active · Details

Hospice certification: CCN A91582

Legal name

GENCARE HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 18, 2023

Last certification

Apr 6, 2023

Ownership / control type

Proprietary - Individual

Organization structure

LLCProprietary

Enrollment address

6220 Westpark Dr
Ste 106C
Houston, TX 77057-7409

Listed as

Gencare Hospice LLCCCN A91582 · All quality measures

Certified

Apr 18, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

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.

• Milton Alonzo Guerrero, MD, CMD

  • Geriatric Medicine (Family Medicine) Physician
  • Houston, TX
  • NPI 1548232317

  W-2 Managing Employee

  CMS ownership

Practitioners 2

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.

• Ma Corazon Ann Garcia, RN

  • Administrator Registered Nurse
  • Houston, TX
  • NPI 1710389333
  NPD Authorized official
• Antonio Paolo Padilla Almacen, MSN, APRN, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Houston, TX
  • NPI 1720749443
  NPD

Affiliated clinicians 1

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

• Milton Alonzo Guerrero, MD, CMD

  • Geriatric Medicine (Family Medicine) Physician
  • Houston, TX
  • NPI 1548232317

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1952033995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 106",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774020106",
            "telephone_number": "713-935-5775",
            "fax_number": "713-534-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 SPRUCE ST",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774013310",
            "telephone_number": "713-935-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENCARE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MA CORAZON ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-529-3603",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Bellaire, TX
• Providers in Bellaire, 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 Jun 28, 2022; 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.