Active NPI
Adventist Health System Sunbelt Inc
- Home Health Agency
- San Marcos, TX
National Provider Identifier
1164465944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 002191
- Legal business name
- ADVENTIST HEALTH SYSTEM SUNBELT INC
- Practice address
- 1999 Medical Pkwy Ste C
San Marcos, TX 78666-7579 - Phone
- (512) 753-3584
- Fax
- (512) 392-8489
- NPI assigned
- Jun 13, 2006
- Last updated
- Jan 11, 2018
- Organization subpart
- Yes
- Parent organization
- CENTRAL TEXAS MEDICAL CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brenda Garrett, RN, BSN
- Title
- Director/Administrator
- Phone
- (512) 753-3584
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 002191 | TX | Primary |
Addresses
Primary practice location
1999 Medical Pkwy Ste C
San Marcos, TX 78666-7579
Mailing address
1999 Medical Pkwy Ste C
San Marcos, TX 78666-7579
Phone (512) 753-3584
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121789501 | Other | TX | SUPERIOR HEALTH PLAN |
| 457094 | Other | TX | HUMANA INS GOLD CHC MCR |
| 457094 | Other | TX | STERLING LIFE MCR |
| 121789501 | Medicaid | TX | |
| 457094 | Other | TX | UNITED HEALTHCARE |
| HH9142 | Other | TX | BLUE CROSS BLUE SHIELD |
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
- Central Texas Medical C
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Feb 11, 2019 | Change of Ownership | Halcyon Home |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Halcyon Home
- Home Health Agency
- San Marcos, TX
- NPI 1851861496
Sold to, 2019-02-11
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515628800000",
"number": "1164465944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1999 MEDICAL PKWY STE C",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786667579",
"telephone_number": "512-753-3584",
"fax_number": "512-392-8489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1999 MEDICAL PKWY STE C",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786667579",
"telephone_number": "512-753-3584",
"fax_number": "512-392-8489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVENTIST HEALTH SYSTEM SUNBELT INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CENTRAL TEXAS MEDICAL CENTER",
"enumeration_date": "2006-06-13",
"last_updated": "2018-01-11",
"status": "A",
"authorized_official_last_name": "GARRETT",
"authorized_official_first_name": "BRENDA",
"authorized_official_title_or_position": "DIRECTOR/ADMINISTRATOR",
"authorized_official_telephone_number": "512-753-3584",
"authorized_official_credential": "RN, BSN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "002191",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUPERIOR HEALTH PLAN",
"identifier": "121789501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA INS GOLD CHC MCR",
"identifier": "457094",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STERLING LIFE MCR",
"identifier": "457094",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121789501",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "457094",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "HH9142",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Marcos, TX
- Adam Pratt OD
- Candra C Adams, LMT
- Veronica June Adams, RBT
- Adc Medical Group, PLLC
- Toye Thomas Adefioye
- Adventist Health System Sunbelt Inc (Central Texas Medical Center Hospice)
- Adventist Health System/Sunbelt, Inc. (Central Texas Medical Center Geriatric Psychiatric Unit)
- Adventist Health System/Sunbelt, Inc. (Central Texas Medical Center)
- Agecrafters, LLC
- Agilias USA, Inc (Results Physiotherapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.