Advent Divine, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ADVENT DIVINE, INC

Practice address

7400 Louis Pasteur Dr Ste 105
San Antonio, TX 78229-4510

Phone

(210) 442-8175

Fax

(210) 442-8089

NPI assigned

Feb 8, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Winifred D Walker

Title

Ceo

Phone

(210) 412-8875

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bridge of Life Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 741713

Legal name

ADVENT DIVINE INC

Doing business as

BRIDGE OF LIFE HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 23, 2018

Last certification

Mar 3, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 14, 2017 in TX

Enrollment address

7400 Louis Pasteur Dr
Ste 105
San Antonio, TX 78229-4510

Listed as

Bridge of Life HospiceCCN 741713

Ownership

For-Profit

Certified

May 23, 2018

Medicare certification status

ActiveFrom the Provider of Services file

Listed as

Alomega Hospice Services LLCCCN 671771

Ownership

For-Profit

Certified

Jun 5, 2013

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

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

Affiliated clinicians 1

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

• Caridad M. Rebollar, M.D.

  • Nephrology Physician
  • San Antonio, TX
  • NPI 1073598520

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1104284942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 LOUIS PASTEUR DR STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294510",
            "telephone_number": "210-442-8175",
            "fax_number": "210-442-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 LOUIS PASTEUR DR STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294510",
            "telephone_number": "210-442-8175",
            "fax_number": "210-442-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENT DIVINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "WINIFRED",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-412-8875",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS HOME & COMMUNITY SUPPORT SERVICES AGENCY",
            "identifier": "018302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridge of Life Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Advanced Surgery Center of San Antonio, LLC
• Advantage Behavioral Services, Inc.
• Advantage Infusion Services, Inc.
• Advantage Pain Management PLLC
• Advantage Surgical and Wound Care Texas PA
• Adventure Sprouts Kids Therapy PLLC
• Adventus Hospice, Inc.
• Advil Healthcare
• Advocare Consulting & Support Solutions, Inc.
• Advocate Hospice Care of San Antonio

• Community Based Hospice Care Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.