Heart of Texas Hospice-Hill Country LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HEART OF TEXAS HOSPICE-HILL COUNTRY LLC

Doing business as

Heart of Texas Hospice

Practice address

1604 S W S Young Dr FL 1
Killeen, TX 76543-5003

Phone

(254) 313-9840

Fax

(254) 320-0078

NPI assigned

Sep 22, 2015

Last updated

Aug 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

Mr. Jason Bootz

Title

President

Phone

(830) 730-7711

Specialties & licenses 1

Addresses

Other names 1

• Heart of Texas Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174992994. Details of each certification follow.

• CCN 741715 Hospice · Active · Details

Hospice certification: CCN 741715

Legal name

HEART OF TEXAS HOSPICE-HILL COUNTRY LLC

Doing business as

HEART OF TEXAS HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 7, 2017

Last certification

Oct 9, 2020

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Incorporated

Sep 8, 2015 in TX

Enrollment address

1604 S W S Young Dr
FL 1
Killeen, TX 76543-5003

Listed as

Heart of Texas HospiceCCN 741715 · All quality measures

Ownership

For-Profit

Certified

Dec 7, 2017

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 8

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.

• Alan Vaught, M.D.

  • Family Medicine Physician
  • Temple, TX
  • NPI 1396989026

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Heart of Texas Hospice-Lonestar, LLC

  dba Heart of Texas Hospice

  • Community Based Hospice Care Agency
  • San Antonio, TX
  • NPI 1275999559

  Focused Health Services LLC, Heart of Texas Hospice LLC

  CMS ownership

Affiliated clinicians 6

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

• Shona Ahuja, M.D.

  • Internal Medicine Physician
  • Belton, TX
  • NPI 1316945538

  Hospice

  Care Compare affiliation
• Angelica Esquivel Davila, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • San Antonio, TX
  • NPI 1366703720

  Hospice

  Care Compare affiliation
• Tran Cassandra Huynh, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Temple, TX
  • NPI 1669676235

  Hospice

  Care Compare affiliation
• Neela K. Patel, MD

  • Geriatric Medicine (Family Medicine) Physician
  • San Antonio, TX
  • NPI 1558546572

  Hospice

  Care Compare affiliation
• Vajeeha Sadi-Ali, M.D

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1366730962

  Hospice

  Care Compare affiliation
• Alan Vaught, M.D.

  • Family Medicine Physician
  • Temple, TX
  • NPI 1396989026

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1174992994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18568 FORTY SIX PKWY STE 2001",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706878",
            "telephone_number": "254-313-9840",
            "fax_number": "210-568-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 S W S YOUNG DR FL 1",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765435003",
            "telephone_number": "254-313-9840",
            "fax_number": "254-320-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF TEXAS HOSPICE-HILL COUNTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "BOOTZ",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-730-7711",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart of Texas Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Killeen, TX
• Providers in Killeen, 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 Aug 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.