Active NPI
Tree of Life Hospice LLC
- Community Based Hospice Care Agency
- Edinburg, TX
National Provider Identifier
1992144547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Ownership
- For-Profit
- Certified
- Dec 26, 2014
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2079832 | Tree of Life Hospice LLC | Certificate of waiver | Jun 24, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Maria L Moya | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.