Organization Active NPI

Holy Savior Palliative Care, LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • San Antonio, TX
National Provider Identifier
1144711318
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
HOLY SAVIOR PALLIATIVE CARE, LLC
Practice address
3201 Cherry Ridge St Ste 205B
San Antonio, TX 78230-4832
Phone
(210) 375-5914
Fax
(210) 375-5919
NPI assigned
May 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Authorized official

Name
Kyle M Smith
Title
Ceo
Phone
(210) 375-5914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QH0002X Primary

Addresses

Primary practice location

3201 Cherry Ridge St Ste 205B
San Antonio, TX 78230-4832

Mailing address

3201 Cherry Ridge St Ste 205B
San Antonio, TX 78230-4832
Phone (210) 375-5914

Other identifiers 1

IdentifierTypeStateIssuer
APPLYINGOtherTXSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

3201 Cherry Ridge Dr
Ste 205B
San Antonio, TX 78230
Phone (210) 375-5914

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527033600000",
    "number": "1144711318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 CHERRY RIDGE ST STE 205B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304832",
            "telephone_number": "210-375-5914",
            "fax_number": "210-375-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 CHERRY RIDGE ST STE 205B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304832",
            "telephone_number": "210-375-5914",
            "fax_number": "210-375-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY SAVIOR PALLIATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-23",
        "last_updated": "2018-05-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-375-5914"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "APPLYING",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.