Principle Hospice Service LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PRINCIPLE HOSPICE SERVICE LLC

Practice address

9033 Aero St Ste 204B
San Antonio, TX 78217-6333

Phone

(210) 455-6050

NPI assigned

Aug 23, 2018

Organization subpart

No

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

Authorized official

Name

Jorge Arango

Title

President

Phone

(956) 227-8787

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 971582

Legal name

PRINCIPLE HOSPICE SERVICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 21, 2020

Last certification

Jul 21, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Enrollment address

9033 Aero St
Ste 204B
San Antonio, TX 78217-6333

Listed as

Principle Hospice Service LLCCCN 971582

Ownership

For-Profit

Certified

Jul 21, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

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.

• Justo Cisneros, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • San Antonio, TX
  • NPI 1427168061

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1265913644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9033 AERO ST STE 204B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176333",
            "telephone_number": "210-455-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9033 AERO ST STE 204B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176333",
            "telephone_number": "210-455-6050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1612 N Lee Trevino Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799365177",
            "country_code": "US",
            "telephone_number": "210-455-6050",
            "fax_number": "210-855-2478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1103 N Raul Longoria Rd",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "TX",
            "postal_code": "785893600",
            "country_code": "US",
            "telephone_number": "210-455-6050",
            "fax_number": "210-855-2478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRINCIPLE HOSPICE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-23",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "ARANGO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-227-8787"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annabella Prince, MSN, RN
• Ernest Prince
• Laronda Prince, PHARM D
• Patrick Prince
• Tatiana Hisabella Prince I
• Julia Pring, MD
• Cristopher Pringle, IOM
• Laura Valero Pringle, R.PH.
• Robert Pringle, RPH
• Nicole Richelle Prins, LPC

• 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 Sep 3, 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.