Organization Active NPI

Tree of Life Hospice LLC

  • Community Based Hospice Care Agency
  • Edinburg, TX
National Provider Identifier
1992144547
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
TREE OF LIFE HOSPICE LLC
Practice address
3107 Center Point Dr
Edinburg, TX 78539-8433
Phone
(569) 949-6029
Fax
(956) 994-9605
NPI assigned
Jun 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Ms. Maria Lourdes Moya, RN
Title
Administrator
Phone
(956) 994-9602

Specialties & licenses 1

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

Addresses

Primary practice location

3107 Center Point Dr
Edinburg, TX 78539-8433

Mailing address

3107 Center Point Dr
Edinburg, TX 78539-8433
Phone (956) 994-9602

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140527001875 TX Part A Provider - Hospice 5193948875 Practice locations: Edinburg, TX

Hospice certification: CCN 741542

Legal name
TREE OF LIFE HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 26, 2014
Last certification
Oct 21, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Apr 26, 2013 in TX
Enrollment address
3107 Center Point Dr
Edinburg, TX 78539-8433

Care Compare: Hospice

Medicare Care Compare
Listed as
Tree of Life Hospice LLCCCN 741542
Ownership
For-Profit
Certified
Dec 26, 2014
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
45D2079832Tree of Life Hospice LLC3107 Center Pointe Drive, Edinburg, TX 78539Certificate of waiverJun 24, 2028

National Provider Directory

National Provider Directory

Locations

1609 N 6th St
McAllen, TX 78501
Phone (956) 618-1626

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
Maria L Moya Individual 5% Or Greater Direct Ownership Interest May 1, 2014 100%
Corporate Officer May 1, 2014 100%
W-2 Managing Employee May 1, 2014 100%

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1992144547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 CENTER POINT DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398433",
            "telephone_number": "956-994-9602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 CENTER POINT DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785398433",
            "telephone_number": "569-949-6029",
            "fax_number": "956-994-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE OF LIFE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "MOYA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "LOURDES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-994-9602",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.