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Organization Active NPI

Hill Country Memorial Hospital

Doing business as Hill Country Memorial Home Care Services

  • Home Health Agency
  • Fredericksburg, TX
National Provider Identifier
1205839016
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
007479 Issued in TX
Legal business name
HILL COUNTRY MEMORIAL HOSPITAL
Doing business as
Hill Country Memorial Home Care Services
Practice address
808 Reuben St.
2ND Floor
Fredericksburg, TX 78624-5405
Phone
(830) 997-1336
Fax
(830) 997-1559
NPI assigned
May 24, 2005
Last updated
May 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Linda Ottmers, R.N.
Title
Director/Administrator
Phone
(830) 997-1336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 007479 TX Primary

Addresses

Primary practice location

808 Reuben St.
2ND Floor
Fredericksburg, TX 78624-5405

Mailing address

PO Box 835
Fredericksburg, TX 78624-0835
Phone (830) 997-1336

Other identifiers 1

IdentifierTypeStateIssuer
136430903MedicaidTX

Other names 1

  • Hill Country Memorial Home Care Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Apr 1, 2023 Change of OwnershipThis provider was the seller Methodist Healthcare Hill Country Healthcare at HomeCCN 457216, TX, NPI 1770284135

Change of ownership 1

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

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1205839016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 835",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786240835",
            "telephone_number": "830-997-1336",
            "fax_number": "830-997-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 REUBEN ST.",
            "address_2": "2ND FLOOR",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786245405",
            "telephone_number": "830-997-1336",
            "fax_number": "830-997-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL COUNTRY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "OTTMERS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "DIRECTOR/ADMINISTRATOR",
        "authorized_official_telephone_number": "830-997-1336",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "007479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136430903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hill Country Memorial Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, TX

Sources for this page

Verify at the official NPI Registry.