Organization Active NPI

Graceful Hospice and Palliative Care LLC

  • Community Based Hospice Care Agency
  • San Antonio, TX
National Provider Identifier
1306486725
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GRACEFUL HOSPICE AND PALLIATIVE CARE LLC
Practice address
3201 Cherry Ridge Dr Ste B-219
San Antonio, TX 78230-4823
Phone
(210) 371-5552
Fax
(210) 571-1751
NPI assigned
Jan 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Debbie Robles
Title
Administrator
Phone
(210) 371-5552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

3201 Cherry Ridge Dr Ste B-219
San Antonio, TX 78230-4823

Mailing address

3201 Cherry Ridge Dr Ste B-219
San Antonio, TX 78230-4823
Phone (210) 371-5552

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200617003523 TX Part A Provider - Hospice 2668894734 Practice locations: San Antonio, TX

Hospice certification: CCN 971686

Legal name
GRACEFUL HOSPICE AND PALLIATIVE CARE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 19, 2021
Last certification
Aug 19, 2021
Ownership / control type
Proprietary - Other
Organization structure
LLCProprietary
Incorporated
in TX
Enrollment address
3201 Cherry Ridge Dr
Ste B-219
San Antonio, TX 78230-4823

Care Compare: Hospice

Medicare Care Compare
Listed as
Graceful Hospice and Palliative Care LLCCCN 971686 · All quality measures
Ownership
For-Profit
Certified
Aug 19, 2021
Medicare certification status
ActiveFrom the Provider of Services file

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
45D2181474Graceful Hospice & Palliative Care LLC3201 Cherry Ridge Drive Ste B-219, San Antonio, TX 78230Certificate of waiverApr 5, 2028

National Provider Directory

National Provider Directory

Locations

3201 Cherry Ridge Dr
Ste B205
San Antonio, TX 78230
Phone (210) 313-1090

3201 Cherry Ridge Dr
Ste B219
San Antonio, TX 78230
Phone (210) 371-5552

3201 Cherry Ridge Dr
#B205
San Antonio, TX 78230
Phone (210) 371-5552

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jessica Rodriguez Individual 5% Or Greater Direct Ownership InterestOwner Nov 14, 2019 40%
Corporate OfficerCfo Nov 14, 2019
Corporate DirectorBoard Member Nov 14, 2019
Operational/Managerial ControlAlternate Administrator Nov 14, 2019
Andrea Parks Individual Operational/Managerial ControlDon Jul 10, 2023
Thelma Rivera Individual Operational/Managerial ControlAlternate Supervising Nurse May 1, 2020
Debbie Robles Individual 5% Or Greater Direct Ownership InterestOwner Nov 14, 2019 50%
Corporate OfficerCeo Nov 14, 2019
Corporate DirectorBoard Member Nov 14, 2019
Operational/Managerial ControlAdministrator Nov 14, 2019
Kathrine Marie Galvan Individual 5% Or Greater Direct Ownership InterestOwner Aug 1, 2022 10%
Corporate DirectorBoard Member Aug 1, 2022
Operational/Managerial ControlMarketing Director Aug 1, 2022

Practitioners & affiliated clinicians

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1306486725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 CHERRY RIDGE DR STE B-219",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304823",
            "telephone_number": "210-371-5552",
            "fax_number": "210-571-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 CHERRY RIDGE DR STE B-219",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304823",
            "telephone_number": "210-371-5552",
            "fax_number": "210-571-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL HOSPICE AND PALLIATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "ROBLES",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-371-5552"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.