NPIMap

Organization Active NPI

Mission HHH LLC

Doing business as Mission Home Health

  • Home Health Agency
  • San Antonio, TX
National Provider Identifier
1194362350
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MISSION HHH LLC
Doing business as
Mission Home Health
Practice address
404 E Ramsey Rd Ste 105
San Antonio, TX 78216-4665
Phone
(210) 524-2400
Fax
(210) 524-2414
NPI assigned
Dec 6, 2019
Last updated
Jun 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Jason Bootz
Title
Ceo
Phone
(210) 383-1045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

404 E Ramsey Rd Ste 105
San Antonio, TX 78216-4665

Mailing address

18568 Forty Six Pkwy Ste 2001
Spring Branch, TX 78070-6878
Phone (210) 712-1990

Other names 1

  • Mission Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200116000174 TX Part A Provider - Home Health Agency 7719312990 Practice locations: San Antonio, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1194362350. Details of each certification follow.

Home health agency certification: CCN 743121

Legal name
MISSION HHH LLC
Doing business as
MISSION HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 18, 2008
Last certification
Aug 20, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Nov 26, 2019 in TX
Enrollment address
404 E Ramsey Rd
Ste 105
San Antonio, TX 78216-4665

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mission Home HealthCCN 743121 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Sep 18, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1073556Mission HHH Dba Mission Home Health404 E Ramsey, Suite 105, San Antonio, TX 78216Certificate of waiverSep 10, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

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.

NameRoleSinceShare
Jill Castillo Individual 5% Or Greater Direct Ownership Interest Dec 1, 2019 20%
W-2 Managing EmployeeAdmin Dec 1, 2019 20%
Gregory Hamilton Taylor Individual 5% Or Greater Direct Ownership Interest Dec 1, 2019 10%
Corporate OfficerCfo Dec 1, 2019 10%
Jason Bootz Individual 5% Or Greater Direct Ownership Interest Dec 1, 2019 70%
Corporate OfficerCeo Dec 1, 2019 70%

Change-of-ownership history 1

DateEventCounterparty
Dec 1, 2019 Change of OwnershipThis provider was the buyer Green Apple Home HealthCCN 743121, TX, NPI 1750445482

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1194362350",
    "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": "210-712-1990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E RAMSEY RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164665",
            "telephone_number": "210-524-2400",
            "fax_number": "210-524-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HHH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "BOOTZ",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-383-1045"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.