SHEPHERD LIVING HOSPICE LLC (NPI# 1437607108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437607108 |
| Entity Type | Organization |
| Organization Name | SHEPHERD LIVING HOSPICE LLC |
| Other Organization Name | FOUR SEASONS HOSPICE |
| Practice Address |
15420 Nacogdoches Rd San Antonio TX 78247 |
| Mailing Address |
15420 Nacogdoches Rd San Antonio TX 78247-1106 |
| Practice Telephone | 2107673870 |
| Mailing Telephone | 2107673870 |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2020-04-06 |
| Authorized Official Name | MONA TALUKDAR (CEO/OWNER) |
| Authorized Official Telephone | 2107673870 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHEPHERD LIVING HOSPICE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 016725 | TX | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001029813 | 05 | |
| TX | STATE LICENSE | 016725 | 01 |
| Other Name | Type Code |
|---|---|
| Four Seasons Hospice | Doing Business As Name - Organization |
| SHEPHERD PERSONAL HOSPICE | Doing Business As Name - Organization |
| Street Address |
15420 NACOGDOCHES RD |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023244571 | Anchor Safe Health Care Inc | Home Health | 15420 Nacogdoches Rd, San Antonio, TX 78247-1106 | 2009-06-10 |
| 1427662949 | Susan Sankey | Nurse Practitioner | 15420 Nacogdoches Rd, San Antonio, TX 78247-1106 | 2020-09-02 |
| 1710518907 | Geoff Colacino | Registered Nurse | 15420 Nacogdoches Rd, San Antonio, TX 78247-1106 | 2020-01-28 |
| 1063043255 | Visiting Practitioners & Palliative Care LLC | Internal Medicine | 15420 Nacogdoches Rd, San Antonio, TX 78247-1106 | 2020-01-28 |
| 1316498330 | Shepherd Personal Care Properties | Hospice Care, Community Based | 15420 Nacogdoches Rd, San Antonio, TX 78247-1106 | 2016-10-14 |
| 1801129192 | A Abundant Care Home Health LLC | Home Health | 15420 Nacogdoches Rd, San Antonio, TX 78247-1106 | 2009-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487134466 | Minerva Desdemona Williams | Occupational Therapy Assistant | 1 Heartland Drive, San Antonio, TX 78247 | 2018-08-18 |
| 1730698903 | Stefanie Anne Gray | Psychologist | 14802 Jones Maltsberger Rd Ste 1201, San Antonio, TX 78247 | 2017-09-20 |
| 1710405618 | Denisa Nicole Lopez | Physical Therapist | 16506 Blanco Key, San Antonio, TX 78247 | 2017-08-31 |
| 1114458361 | H-e-b, Lp | Eyewear Supplier (Equipment, not the service) | 17238 Bulverde Rd, San Antonio, TX 78247 | 2017-03-21 |
| 1376083899 | H-e-b, Lp | Clinical Medical Laboratory | 17238 Bulverde Road, San Antonio, TX 78247 | 2017-03-02 |
| 1417494659 | Cook Childrens Home Health | Durable Medical Equipment & Medical Supplies | 11911 Starcrest Drive, San Antonio, TX 78247 | 2017-01-26 |
| 1245772268 | Sarah Rudd | Specialist/Technologist | 5126 Spring Bridge, San Antonio, TX 78247 | 2016-11-08 |
| 1477903938 | Kadie Patricia Kress | Physical Therapist | 4718 Cypress Mill Dr, San Antonio, TX 78247 | 2016-06-15 |
| 1649653288 | Regina Giannola | Perfusionist | 6742 Manor Hill Dr., San Antonio, TX 78247 | 2015-07-01 |
| 1538565189 | Swift Eye Care, Pllc | Optometrist | 17230 Bulverde Rd, Suite 104, San Antonio, TX 78247 | 2014-11-10 |
| Find all providers in zip 78247 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885476 | Allwell Care,llc | Hospice Care, Community Based | 4211 Gardendale St Ste 102a102, San Antonio, TX 78229-3180 | 2020-09-09 |
| 1013527621 | Hummingbird Hospice LLC | Hospice Care, Community Based | 8420 Greenbrier, San Antonio, TX 78209-2009 | 2020-08-07 |
| 1255958179 | Transcend Hospice 16 LLC | Hospice Care, Community Based | 1844 Lockhill Selma Rd Ste 101r, San Antonio, TX 78213-1503 | 2020-06-26 |
| 1619594538 | Transcend Hospice 17 LLC | Hospice Care, Community Based | 1844 Lockhill Selma Rd Ste 101s, San Antonio, TX 78213-1503 | 2020-06-26 |
| 1942827837 | Transcend Hospice 19 LLC | Hospice Care, Community Based | 1844 Lockhill Selma Rd Ste 101u, San Antonio, TX 78213-1503 | 2020-06-26 |
| 1992321947 | Transcend Hospice 18 LLC | Hospice Care, Community Based | 1844 Lockhill Selma Rd Ste 101t, San Antonio, TX 78213-1503 | 2020-06-24 |
| 1841826088 | Transcend Hospice 14 LLC | Hospice Care, Community Based | 1844 Lockhill Selma Rd Ste 101p, San Antonio, TX 78213-1503 | 2020-03-19 |
| 1558997700 | Transcend Hospice 15 LLC | Hospice Care, Community Based | 1844 Lockhill Selma Rd Ste 101q, San Antonio, TX 78213-1503 | 2020-03-19 |
| 1740815620 | Ally Hospice LLC | Hospice Care, Community Based | 6203 Welles Creek Dr, San Antonio, TX 78240-2110 | 2020-03-11 |
| 1306486725 | Graceful Hospice and Palliative Care LLC | Hospice Care, Community Based | 3700 Fredericksburg Rd Ste 233, San Antonio, TX 78201-3274 | 2020-01-14 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78247 |
Please comment or provide details below to improve the information on SHEPHERD LIVING HOSPICE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.