Covenant Grace Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COVENANT GRACE HOSPICE, INC.

Doing business as

COVENANT GRACE HOSPICE

Practice address

8535 Wurzbach Rd Ste 215
San Antonio, TX 78240-1263

Phone

(210) 822-2992

Fax

(210) 568-4859

NPI assigned

Apr 29, 2010

Organization subpart

No

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

Authorized official

Name

James Douthitt

Title

Cfo

Phone

(940) 600-5140

Specialties & licenses 1

Addresses

Other names 1

• COVENANT GRACE HOSPICE Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN A91628

Legal name

COVENANT GRACE HOSPICE, INC.

Doing business as

FAIRMONT HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 14, 2023

Last certification

Jul 20, 2023

Organization structure

CorporationProprietary

Incorporated

Sep 10, 2009 in TX

Enrollment address

300 Jackson St
Richmond, TX 77469-3109

Listed as

Eternal Faith HospiceCCN A91628

Certified

Aug 14, 2023

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

Locations

All disclosed owners & managing parties 3

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.

• Vijay Korimilli, MD

  • Internal Medicine Physician
  • Sugar Land, TX
  • NPI 1801091384

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Vijay Korimilli, MD

  • Internal Medicine Physician
  • Sugar Land, TX
  • NPI 1801091384

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1174840151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733707",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733707",
            "telephone_number": "713-261-9571",
            "fax_number": "281-564-7326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8535 WURZBACH RD STE 215",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401263",
            "telephone_number": "210-822-2992",
            "fax_number": "210-568-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT GRACE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-29",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "DOUTHITT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "940-600-5140"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COVENANT GRACE HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Jill Couvillion
• Mia Lynn Covarrubias
• Noemie Covarrubias
• Veronica M Covarrubias, CCC-SLP
• Caryn Michelle Covella
• Covenant Health System
• Covenant Home Health Inc
• Jenny L. Coventry, LPC
• Angelita Covert
• John Leland Covert, DDS

• 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 Feb 4, 2026; 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.