GRACE HOSPICE OF SAN ANTONIO, LLC (NPI# 1457387128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457387128 |
| Entity Type | Organization |
| Organization Name | GRACE HOSPICE OF SAN ANTONIO, LLC |
| Other Organization Name | SAN ANTONIO'S GRACE HOSPICE |
| Practice Address |
4800 Fredericksburg Rd Ste125 San Antonio TX 78229-9602 |
| Mailing Address |
P.o. Box 99278 Troy MI 48099-9278 |
| Practice Telephone | 2105251400 |
| Practice Fax Number | 2105251401 |
| Mailing Telephone | 2488246000 |
| Mailing Fax Number | 8556186655 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2019-07-18 |
| Authorized Official Name | RAJIV N PATEL (CEO/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 2488246609 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 013783 | TX | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001019785 | 05 | |
| TX | TX LICENSE | 013783 | 01 |
| Other Name | Type Code |
|---|---|
| San Antonio's Grace Hospice | Doing Business As Name - Organization |
| Street Address |
4800 FREDERICKSBURG RD STE125 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-9602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063494458 | Rolando Xavier Ramirez | Physician Assistant | 4800 Fredericksburg Rd, Ste 127, San Antonio, TX 78229-3628 | 2005-11-19 |
| 1902343247 | Katherine Joseph | Nurse Practitioner | 4800 Fredericksburg Rd, San Antonio, TX 78229-3628 | 2017-01-25 |
| 1881903649 | Gretchen Maria Sinclair | Nurse Practitioner | 4800 Fredericksburg Rd, Suite 127, San Antonio, TX 78229-3628 | 2010-09-28 |
| 1669645180 | Lea Ann Carver | Nurse Practitioner | 4800 Fredericksburg Rd, Ste 127, San Antonio, TX 78229-3628 | 2008-04-04 |
| 1093997488 | Holly Jo Wyder | Internal Medicine | 4800 Fredericksburg Rd, Suite 127, San Antonio, TX 78229-3628 | 2007-11-28 |
| 1376731885 | Tim Senthavisouk | Nurse Practitioner | 4800 Fredericksburg Rd, Suite 127, San Antonio, TX 78229-3628 | 2007-10-09 |
| 1124213707 | R & C Healthcare, LLC | Home Health | 4800 Fredericksburg Rd, #122, San Antonio, TX 78229-3781 | 2007-09-07 |
| 1720290711 | Carl Simpson | Preventive Medicine | 4800 Fredericksburg Rd, Suite 127, San Antonio, TX 78229-3628 | 2007-05-04 |
| 1104049592 | Tamara Jeanne Dominguez | Family Medicine | 4800 Fredericksburg Rd, Suite 127, San Antonio, TX 78229-3628 | 2007-04-11 |
| 1316042849 | Hai Van Pham | Family Medicine | 4800 Fredericksburg Rd, Ste 127, San Antonio, TX 78229-3628 | 2006-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| 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 | 78229 |
Please comment or provide details below to improve the information on GRACE HOSPICE OF SAN ANTONIO, 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.