Journey Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

JOURNEY HOSPICE, LLC

Practice address

454 Breesport St.
San Antonio, TX 78216-2603

Phone

(210) 455-0101

Fax

(210) 455-0208

NPI assigned

Mar 23, 2017

Organization subpart

No

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

Authorized official

Name

Denise R Mata, RN

Title

Owner

Phone

(210) 455-0101

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 971638

Legal name

JOURNEY HOSPICE, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 24, 2021

Last certification

Mar 24, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Aug 30, 2016 in TX

Enrollment address

434 Breesport St
San Antonio, TX 78216-2603

Listed as

Journey Hospice LLCCCN 971638

Ownership

For-Profit

Certified

Mar 24, 2021

Medicare certification status

ActiveFrom the Provider of Services file

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.

• Lucina B Trevino, MD

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1003981242

  Contracted Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ricardo Cosme Aguilar Jr., M.D.

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1467439265
  NPD (past)

Affiliated clinicians 1

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

• Lucina B Trevino, MD

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1003981242

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1194256883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 BREESPORT ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162603",
            "telephone_number": "210-422-9739",
            "fax_number": "210-455-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 BREESPORT ST.",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782162603",
            "telephone_number": "210-455-0101",
            "fax_number": "210-455-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-23",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "MATA",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-455-0101",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy R Jouffray, MA, LPC
• Olga Joukovski, MD
• Journey Health and Vitality, PLLC
• Journey Home Healthcare of San Antonio, LLC
• Journey Hospice of San Antonio, LLC
• Journey to Nexus Counseling and Play Therapy, PLLC
• Journeys Hospice of Texas LLC
• Jovalde Inc
• Jovana Rehabilitation Medicine & Pain PLLC
• Mikayla Jovanovich

• 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 Jul 26, 2024; 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.