Amistad Homecare, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

008287 Issued in TX

Legal business name

AMISTAD HOMECARE, INC

Practice address

613 NW Loop 410 Ste 630
San Antonio, TX 78216-5507

Phone

(210) 474-0037

Fax

(210) 474-0067

NPI assigned

Sep 22, 2005

Organization subpart

No

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

Authorized official

Name

Ramona Diego

Title

Ceo/Administrator

Phone

(210) 474-0037

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amistad Homecare,Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Home health agency certification: CCN 679307

Legal name

AMISTAD HOMECARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 7, 2003

Last certification

Oct 2, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Oct 2, 2002 in TX

Enrollment address

613 NW Loop 410
Ste 630
San Antonio, TX 78216-5507

Listed as

Amistad Homecare IncCCN 679307

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Jul 7, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Practitioners 2

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

• Jacquelyn Dimanlig Agcaoili, PT

  • Physical Therapist
  • San Antonio, TX
  • NPI 1871072801
  NPD (past)
• Joshua Trock, PT,DPT,RVT,CLT,CEWS

  • Physical Therapist
  • San Antonio, TX
  • NPI 1063825545
  NPD (past)

Affiliated clinicians 4

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

• Thomas John Gianis II, M.D.

  • Vascular Surgery Physician
  • San Antonio, TX
  • NPI 1467895375

  Home health agency

  Care Compare affiliation
• John Hogg, MD

  • Diagnostic Radiology Physician
  • San Antonio, TX
  • NPI 1407850209

  Home health agency

  Care Compare affiliation
• Josue A. Medina, MD

  • Phlebology Physician
  • San Antonio, TX
  • NPI 1437311321

  Home health agency

  Care Compare affiliation
• Anna E Sanchez, DPM

  • Podiatrist
  • San Antonio, TX
  • NPI 1881780468

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1992791123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 NW LOOP 410 STE 630",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165507",
            "telephone_number": "210-474-0037",
            "fax_number": "210-474-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 NW LOOP 410 STE 630",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165507",
            "telephone_number": "210-474-0037",
            "fax_number": "210-474-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMISTAD HOMECARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "DIEGO",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "210-474-0037"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161734201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amistad Homecare,Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Javier Amione Guerra, MD
• Farshid Amir, O.D.
• Nancy Elhitamy Amir, O.D.
• Omar Farooq Amir
• Ashley Amirhamzeh, CNIM
• Amistad Residental Facility
• Joshua Amistoso
• Amity Infusions and Therapeutics
• Shehzad Amlani, DPM
• Hassan Hussein Ammar, DO

• Home Health Agency in San Antonio, TX
• Providers in San Antonio, 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 6, 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.