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Organization Active NPI

Harbor Hospice of South San Antonio, LP

  • Community Based Hospice Care Agency
  • San Antonio, TX
National Provider Identifier
1013268432
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HARBOR HOSPICE OF SOUTH SAN ANTONIO, LP
Practice address
15714 Huebner Rd Ste 2B2
San Antonio, TX 78248-0996
Phone
(210) 481-0500
Fax
(210) 481-0504
NPI assigned
Sep 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Authorized official

Name
Karen Carter
Title
Exec Admin Asst
Phone
(409) 730-2046

Specialties & licenses 1

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

Addresses

Primary practice location

15714 Huebner Rd Ste 2B2
San Antonio, TX 78248-0996

Mailing address

3406 College St
Suite 200
Beaumont, TX 77701-4612
Phone (409) 813-2332

Other names 1

  • BEACON HOSPICE OF SOUTH SAN ANTONIO Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130315000141 TX Part A Provider - Hospice 5092950360 Practice locations: San Antonio, TX

Hospice certification: CCN 741573

Legal name
HARBOR HOSPICE OF SOUTH SAN ANTONIO, LP
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 7, 2015
Last certification
Oct 14, 2021
Ownership / control type
Proprietary - Partnership
Organization structure
OtherProprietary
Incorporated
Sep 24, 2012 in TX
Enrollment address
15714 Huebner Rd
Ste 2B2
San Antonio, TX 78248-0996

All disclosed owners & managing parties 5

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Karen Carter Individual W-2 Managing Employee Feb 1, 2019
Arfeen Properties, L.P. Organization, Beaumont, TX 5% Or Greater Direct Ownership Interest Sep 24, 2012 99%
HHCS Managers LLC Organization, Beaumont, TX LLC 5% Or Greater Direct Ownership Interest Sep 24, 2012 1%
Qamar U Arfeen Individual 5% Or Greater Indirect Ownership InterestPartner Sep 24, 2012 50%
Kelley L Arfeen Individual 5% Or Greater Indirect Ownership InterestPartner Sep 24, 2012 50%

National Provider Directory

National Provider Directory

Locations

15714 Huebner Rd
Ste 2B2
San Antonio, TX 78248
Phone (210) 481-0500

18838 Stone Oak Pkwy
Ste 204B
San Antonio, TX 78258

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 46

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 46

Care Compare: Hospice

Medicare Care Compare
Listed as
Harbor Hospice of South San Antonio LPCCN 741573
Ownership
For-Profit
Certified
Sep 7, 2015
Medicare certification status
ActiveFrom the Provider of Services file

NPI Registry JSON

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

{
    "created_epoch": "1348531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1013268432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 COLLEGE ST",
            "address_2": "SUITE 200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014612",
            "telephone_number": "409-813-2332",
            "fax_number": "409-232-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15714 HUEBNER RD STE 2B2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782480996",
            "telephone_number": "210-481-0500",
            "fax_number": "210-481-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HOSPICE OF SOUTH SAN ANTONIO, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-25",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "EXEC ADMIN ASST",
        "authorized_official_telephone_number": "409-730-2046"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEACON HOSPICE OF SOUTH SAN ANTONIO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.