Organization Active NPI

Real Life Healthcare Services, LLC

Doing business as River City Hospice & Palliative Care

  • Community Based Hospice Care Agency
  • San Antonio, TX
National Provider Identifier
1033434501
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
REAL LIFE HEALTHCARE SERVICES, LLC
Doing business as
River City Hospice & Palliative Care
Practice address
6523 Moss Oak Dr
San Antonio, TX 78229-4221
Phone
(210) 858-9138
Fax
(210) 568-4171
NPI assigned
Mar 28, 2010
Last updated
Feb 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Janet R Montagne
Title
Chief Executive Officer
Phone
(409) 201-9655

Specialties & licenses 1

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

Addresses

Primary practice location

6523 Moss Oak Dr
San Antonio, TX 78229-4221

Mailing address

PO Box 20595
Beaumont, TX 77720-0595
Phone (210) 858-9138

Other identifiers 3

IdentifierTypeStateIssuer
001019122MedicaidTX
013328OtherSTATE LICENSE
67-1655OtherMEDICARE PROVIDER NUMBER

Other names 1

  • River City Hospice & Palliative Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100513000736 TX Part A Provider - Hospice 3779611652 Practice locations: San Antonio, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033434501. Details of each certification follow.

Hospice certification: CCN 671655

Legal name
REAL LIFE HEALTHCARE SERVICES, LLC
Doing business as
RIVER CITY HOSPICE & PALLIATIVE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 27, 2010
Last certification
Sep 27, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Mar 23, 2010 in TX
Enrollment address
6523 Moss Oak Dr
San Antonio, TX 78229-4221

Care Compare: Hospice

Medicare Care Compare
Listed as
River City Hospice & Palliative CareCCN 671655 · All quality measures
Ownership
For-Profit
Certified
Sep 27, 2010
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

13740 Research Blvd
Ste V4
Austin, TX 78750
Phone (512) 292-4929

158 Highway 16 S
Ste B
Bandera, TX 78003
Phone (210) 615-3888

101 E 24th Ave
Belton, TX 76513
Phone (254) 939-5602

187 Elmhurst
Ste F
Kyle, TX 78640
Phone (512) 292-4929

4211 Gardendale St
Ste 102
San Antonio, TX 78229
Phone (409) 840-6622

4211 Gardendale St
Ste 105
San Antonio, TX 78229

5109 Medical Dr
Ste 101
San Antonio, TX 78229
Phone (210) 858-9138

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Texas Healthcare Management, LLC Organization, Beaumont, TX LLC Operational/Managerial Control Feb 1, 2011
Janet Montagne Individual 5% Or Greater Direct Ownership Interest Mar 23, 2010 100%
Corporate OfficerCeo Mar 23, 2010 100%
Corporate DirectorCeo Apr 1, 2010
W-2 Managing Employee Aug 28, 2012 100%
Operational/Managerial Control Mar 23, 2010 100%

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 5

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

NPI Registry JSON

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

{
    "created_epoch": "1269734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1033434501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20595",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777200595",
            "telephone_number": "210-858-9138",
            "fax_number": "210-568-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6523 MOSS OAK DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294221",
            "telephone_number": "210-858-9138",
            "fax_number": "210-568-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL LIFE HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-28",
        "last_updated": "2024-02-29",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "MONTAGNE",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "409-201-9655"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001019122",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "013328",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "67-1655",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River City Hospice & Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.