Organization Active NPI

Optum Palliative and Hospice Care of Texas, Inc.

  • Community Based Hospice Care Agency
  • San Antonio, TX
National Provider Identifier
1104048685
Registry record updated Dec 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
012312 Issued in TX
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, LLAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 7, 2015

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)CodeLicenseStatePrimary
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. Doing business as

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

DateEventCounterparty
Feb 1, 2017 Change of OwnershipThis provider was the seller Compassus-San AntonioCCN 671550, TX, NPI 1215487475

Change of ownership 1

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

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

Verify at the official NPI Registry.