Refuge Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

REFUGE HOSPICE, LLC

Practice address

4831 Whirlwind Dr Ste 1
San Antonio, TX 78217-3701

Phone

(210) 296-6898

Fax

(210) 437-2988

NPI assigned

Jan 10, 2023

Last updated

Jan 10, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angel Jorge Resendiz

Title

Owner/Administrator

Phone

(210) 296-6898

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174237572. Details of each certification follow.

• CCN A91679 Hospice · Active · Details

Hospice certification: CCN A91679

Legal name

REFUGE HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 8, 2024

Last certification

Dec 20, 2023

Organization structure

LLCProprietary

Enrollment address

4831 Whirlwind Dr
Ste 1
San Antonio, TX 78217-3701

Listed as

Refuge Hospice, LLCCCN A91679 · All quality measures

Certified

Jan 8, 2024

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

All disclosed owners & managing parties 4

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Vincent Gregory Gonzaba, MD

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1538192489

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1174237572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33472",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782653472",
            "telephone_number": "210-296-6898",
            "fax_number": "210-437-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4831 WHIRLWIND DR STE 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173701",
            "telephone_number": "210-296-6898",
            "fax_number": "210-437-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFUGE HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "RESENDIZ",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "JORGE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "210-296-6898"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Jan 10, 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.