Organization Active NPI

Adventist Health System Sunbelt Inc

  • Home Health Agency
  • San Marcos, TX
National Provider Identifier
1164465944
Registry record updated Jan 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
002191 Issued in TX
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, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL TEXAS MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
121789501OtherTXSUPERIOR HEALTH PLAN
457094OtherTXHUMANA INS GOLD CHC MCR
457094OtherTXSTERLING LIFE MCR
121789501MedicaidTX
457094OtherTXUNITED HEALTHCARE
HH9142OtherTXBLUE 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

DateEventCounterparty
Feb 11, 2019 Change of OwnershipThis provider was the seller Halcyon HomeCCN 457094, TX, NPI 1851861496

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": "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

Sources for this page

Verify at the official NPI Registry.