Active NPI
Optum Palliative and Hospice Care of Texas, Inc.
- Community Based Hospice Care Agency
- San Antonio, TX
National Provider Identifier
1104048685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 012312
- Legal business name
- OPTUM PALLIATIVE AND HOSPICE CARE OF TEXAS, INC.
- Practice address
- 5835 Callaghan Rd
Suite 400
San Antonio, TX 78228-1125 - Phone
- (210) 684-3900
- Fax
- (210) 684-3905
- NPI assigned
- May 3, 2007
- Organization subpart
- Yes
- Parent organization
- COLLABORATIVE CARE HOLDINGS, LL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Enderle
- Title
- President
- Phone
- (860) 616-7221
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | |||
| Community Based Hospice Care Agency | 251G00000X | 012312 | TX | Primary |
Addresses
Primary practice location
5835 Callaghan Rd
Suite 400
San Antonio, TX 78228-1125
Mailing address
1009 Windcross CT
Suite 101
Franklin, TN 37067
Phone (615) 224-5440
Other names 1
- Hospice Inspiris of Texas, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Part of
- Optum Palliative and Hospice Care of Texas Inc
Locations
1009 Windcross Ct
Ste 101
Franklin, TN 37067
Phone (615) 224-5443
5835 Callaghan Rd
Ste 400
San Antonio, TX 78228
Phone (210) 684-3900
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Feb 1, 2017 | Change of Ownership | Compassus-San Antonio |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Community Based Hospice Care Agency
- San Antonio, TX
- NPI 1215487475
Sold to, 2017-02-01
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449446400000",
"number": "1104048685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 WINDCROSS CT",
"address_2": "SUITE 101",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "37067",
"telephone_number": "615-224-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5835 CALLAGHAN RD",
"address_2": "SUITE 400",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782281125",
"telephone_number": "210-684-3900",
"fax_number": "210-684-3905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTUM PALLIATIVE AND HOSPICE CARE OF TEXAS, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COLLABORATIVE CARE HOLDINGS, LL",
"enumeration_date": "2007-05-03",
"last_updated": "2015-12-07",
"status": "A",
"authorized_official_last_name": "ENDERLE",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "860-616-7221",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "TX",
"license": "012312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hospice Inspiris of Texas, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.