Organization Active NPI

Adoration Hospice Care Texas, LLC

Doing business as Embrace Hospice

  • Community Based Hospice Care Agency
  • San Antonio, TX
National Provider Identifier
1073092045
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ADORATION HOSPICE CARE TEXAS, LLC
Doing business as
Embrace Hospice
Practice address
5835 Callaghan Rd Ste 600
San Antonio, TX 78228-1119
Phone
(210) 691-6900
NPI assigned
Aug 10, 2018
Last updated
Jul 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
Angie Mattingly
Title
Provider Enrollment Manager
Phone
(502) 630-7425

Specialties & licenses 1

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

Addresses

Primary practice location

5835 Callaghan Rd Ste 600
San Antonio, TX 78228-1119

Mailing address

805 N Whittington Pkwy Ste 400
Louisville, KY 40222-7101
Phone (502) 394-2100

Other practice location 1

5835 Callaghan Rd Ste 500
San Antonio, TX 78228-1116
Phone (210) 691-3600

Other names 1

  • Embrace Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181113000356 TX Part A Provider - Hospice 4385998285 Practice locations: Kerrville, TX; San Antonio, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073092045. Details of each certification follow.

Hospice certification: CCN 671676

Legal name
ADORATION HOSPICE CARE TEXAS LLC
Doing business as
EMBRACE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 17, 2011
Last certification
May 14, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Jul 16, 2018 in DE
Enrollment address
5835 Callaghan Rd
Ste 600
San Antonio, TX 78228-1119

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Embrace HospiceCCN 671676 · All quality measures
Ownership
For-Profit
Certified
Jun 17, 2011
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Adoration Hospice Care Texas LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5835 Callaghan Rd
Ste 500
San Antonio, TX 78228
Phone (210) 691-3600

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Jay Koeper Individual Corporate OfficerPresident & Manager Jul 14, 2023
Jennifer Phipps Individual Corporate OfficerTreasurer Jul 22, 2022
Walgreen Co Organization, Deerfield, IL 5% Or Greater Indirect Ownership Interest Mar 5, 2019
Adoration Home Health & Hospice Inc Organization, Louisville, KY Corporation 5% Or Greater Indirect Ownership Interest Sep 1, 2018 100%
Allison Brown Individual Corporate OfficerSecretary Jul 22, 2022
Margaret Sherry Pemberton Individual Corporate OfficerVice President and Manager Sep 1, 2018
Corporate DirectorVice President and Manager Sep 1, 2018
Brightspring Health Holdings Corp Organization, Louisville, KY Corporation 5% Or Greater Indirect Ownership Interest Sep 1, 2018 100%
Phoenix Guarantor Inc. Organization, Louisville, KY 5% Or Greater Indirect Ownership Interest Mar 5, 2019
Res-Care Inc Organization, Louisville, KY Corporation 5% Or Greater Indirect Ownership Interest Sep 1, 2018 100%
Phoenix Intermediate Holdings Inc. Organization, Louisville, KY 5% Or Greater Indirect Ownership Interest Mar 5, 2019
Walgreens Holding Company Organization, Deerfield, IL 5% Or Greater Indirect Ownership Interest Mar 5, 2019
Brightspring Health Services Inc Organization, Louisville, KY 5% Or Greater Indirect Ownership Interest Mar 5, 2019
KKR Phoenix Aggregator L.P. Organization, New York, NY 5% Or Greater Indirect Ownership Interest Mar 5, 2019
Keith Becker Individual Corporate OfficerVice President and Manager Jan 2, 2019
Corporate DirectorVice President and Manager Jan 2, 2019
W-2 Managing Employee Jan 2, 2019
KKR Americas Fund XII LP Organization, New York, NY 5% Or Greater Indirect Ownership Interest Mar 5, 2019
Rescare Holdings Inc Organization, Louisville, KY Corporation 5% Or Greater Indirect Ownership Interest Sep 1, 2018 100%
Adoration Hospice Care LLC Organization, Louisville, KY LLC 5% Or Greater Direct Ownership Interest Sep 1, 2018 100%

Facilities with the same owner 151

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

View all 151

Change-of-ownership history 1

DateEventCounterparty
Sep 1, 2018 Change of OwnershipThis provider was the buyer Embrace Hospice LLCCCN 671676, TX, NPI 1518282904

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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": "1533859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1073092045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N WHITTINGTON PKWY STE 400",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402227101",
            "telephone_number": "502-394-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 CALLAGHAN RD STE 600",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281119",
            "telephone_number": "210-691-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5835 Callaghan Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782281116",
            "country_code": "US",
            "telephone_number": "210-691-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADORATION HOSPICE CARE TEXAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-10",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "MATTINGLY",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT MANAGER",
        "authorized_official_telephone_number": "502-630-7425"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Embrace Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.