NPIMap

Organization Active NPI

Hospice of San Angelo Inc

  • Community Based Hospice Care Agency
  • San Angelo, TX
National Provider Identifier
1114001435
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
002018 Issued in TX
Legal business name
HOSPICE OF SAN ANGELO INC
Practice address
36 East Twohig
Suite 1100
San Angelo, TX 76903
Phone
(325) 658-6524
Fax
(325) 658-8895
NPI assigned
Oct 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David W McBride, MS
Title
Executive Director
Phone
(325) 658-6524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 002018 TX Primary

Addresses

Primary practice location

36 East Twohig
Suite 1100
San Angelo, TX 76903

Mailing address

PO Box 471
San Angelo, TX 76902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Tax ID family
The West Texas Rehabilitation Center8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

36 E Twohig Ave
Ste 1100
San Angelo, TX 76903
Phone (325) 658-6524

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Mar 1, 2018 Change of OwnershipThis provider was the seller Hospice of San AngeloCCN 451532, TX, NPI 1063911618

Change of ownership 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114001435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 471",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 EAST TWOHIG",
            "address_2": "SUITE 1100",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76903",
            "telephone_number": "325-658-6524",
            "fax_number": "325-658-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF SAN ANGELO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "325-658-6524",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "002018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.