Bridgeway Hospice LLC
Organization Active NPI Community Based Hospice Care Agency · Buda, TX
NPI 1255934980 · NPPES record last updated Jun 2, 2026
Key facts
- NPI
- 1255934980
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- BRIDGEWAY HOSPICE LLC
- Practice address
- 825 Main St Ste 120
Buda, TX 78610-3273 - Phone
- (512) 523-5265
- Fax
- (512) 361-0030
- NPI assigned
- Nov 17, 2020
- Organization subpart
- No
Authorized official
- Name
- Edward Wilmore
- Title
- Coo
- Phone
- (512) 565-6182
Owners & managing parties with NPI records 1
-
Diego Moreno, M.D.
Practitioners 1
-
Diego Moreno, M.D.
Affiliated clinicians 3
-
Diego Moreno, M.D.
Medicare Care Compare: Hospice
- Listed as
- Bridgeway Hospice, LLC.
- Ownership
- For-Profit
- Certified
- Dec 3, 2021
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Hospice certification: CCN 971719
- Legal name
- BRIDGEWAY HOSPICE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Dec 3, 2021
- Last certification
- Dec 3, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC · Proprietary
- Incorporated
- Oct 29, 2020 in TX
- Enrollment address
- 825 Main St
Ste 120
Buda, TX 78610-3273
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Diego Moreno |
Corporate Director |
Feb 1, 2022 | 100% |
| Brandis Wilmore |
5% Or Greater Direct Ownership Interest |
Oct 29, 2020 | 100% |
| Edward Wilmore |
Operational/Managerial Control |
Apr 7, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211012000511 | TX | Part a Provider - Hospice | 5991103624 | Practice locations: Buda, TX |
National Provider Directory
Locations
825 Main St
Ste 140
Buda, TX 78610
Phone (512) 295-7000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
825 Main St Ste 120
Buda, TX 78610-3273
Mailing address
825 Main St Ste 120
Buda, TX 78610-3273
Phone (512) 523-5265
Other providers in Buda, TX
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- Mary Esther Bramlett
- Zachary Thomas Braz
- Becca Bresemann
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- Kalyn Brown
- Margaret Elizabeth Brown
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All providers in Buda, TX · Community Based Hospice Care Agency in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.