NPIMap

Organization Active NPI

Good Shepherd Hospice of San Antonio, L.L.C.

  • Community Based Hospice Care Agency
  • San Antonio, TX
National Provider Identifier
1033465208
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GOOD SHEPHERD HOSPICE OF SAN ANTONIO, L.L.C.
Practice address
5811 University HTS Ste 106
San Antonio, TX 78249-4883
Phone
(210) 733-3939
Fax
(210) 733-3488
NPI assigned
Jul 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
Jason K Delester
Title
Manager
Phone
(405) 943-0903

Specialties & licenses 1

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

Addresses

Primary practice location

5811 University HTS Ste 106
San Antonio, TX 78249-4883

Mailing address

4350 Will Rogers Pkwy
Suite 400
Oklahoma City, OK 73108-1840
Phone (405) 943-0903

Other practice location 1

207 E Colorado St Ste A
Pearsall, TX 78061-3234
Phone (830) 505-7126

Other identifiers 1

IdentifierTypeStateIssuer
001026018MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/SDRRequest_Service Other Ability Network

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130618000453 TX Part A Provider - Hospice 9931348257 Practice locations: Floresville, TX; Pearsall, TX; San Antonio, TX

Hospice certification: CCN 671793

Legal name
GOOD SHEPHERD HOSPICE OF SAN ANTONIO LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 28, 2013
Last certification
Dec 19, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
5811 University HTS
Ste 106
San Antonio, TX 78249-4883

Care Compare: Hospice

Medicare Care Compare
Listed as
Good Shepherd Hospice of San Antonio, L.L.C.CCN 671793
Ownership
For-Profit
Certified
Nov 28, 2013
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2055923Good Shepherd Hospice of San Antonio, LLC5811 University HTS Blvd, Ste 106, San Antonio, TX 78249Certificate of waiverMar 18, 2027

National Provider Directory

National Provider Directory

Locations

207 E Colorado St
Ste A
Pearsall, TX 78061
Phone (830) 505-7126

5811 University Hts
Ste 106
San Antonio, TX 78249
Phone (210) 733-3939

15614 Huebner Rd
Ste 109
San Antonio, TX 78248

Ownership & related parties

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.

NameRoleSinceShare
Jason Kyle Delester Individual Corporate OfficerBoard of Director, President Mar 1, 2012
Operational/Managerial ControlManager Mar 1, 2012
Tara a Keilmann Individual W-2 Managing EmployeeAd; Jan 29, 2025 100%
Shellie K Greiner Revocable Trust Organization, Edmond, OK 5% Or Greater Direct Ownership Interest Mar 8, 2013 100%
Ricardo Castillo Individual Contracted Managing EmployeeMD; Mar 30, 2022 100%

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 6

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

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1033465208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 WILL ROGERS PKWY",
            "address_2": "SUITE 400",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731081840",
            "telephone_number": "405-943-0903",
            "fax_number": "405-943-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5811 UNIVERSITY HTS STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782494883",
            "telephone_number": "210-733-3939",
            "fax_number": "210-733-3488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 E Colorado St Ste A",
            "address_purpose": "LOCATION",
            "city": "Pearsall",
            "state": "TX",
            "postal_code": "780613234",
            "country_code": "US",
            "telephone_number": "830-505-7126",
            "fax_number": "877-917-3734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOOD SHEPHERD HOSPICE OF SAN ANTONIO, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "DELESTER",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-943-0903"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001026018",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/SDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd SteB",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.