Active NPI
Graceful Hospice and Palliative Care LLC
- Community Based Hospice Care Agency
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Ownership
- For-Profit
- Certified
- Aug 19, 2021
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2181474 | Graceful Hospice & Palliative Care LLC | Certificate of waiver | Apr 5, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Jessica Rodriguez | 5% Or Greater Direct Ownership Interest | Nov 14, 2019 | 40% |
| Corporate Officer | Nov 14, 2019 | ||
| Corporate Director | Nov 14, 2019 | ||
| Operational/Managerial Control | Nov 14, 2019 | ||
| Andrea Parks | Operational/Managerial Control | Jul 10, 2023 | |
| Thelma Rivera | Operational/Managerial Control | May 1, 2020 | |
| Debbie Robles | 5% Or Greater Direct Ownership Interest | Nov 14, 2019 | 50% |
| Corporate Officer | Nov 14, 2019 | ||
| Corporate Director | Nov 14, 2019 | ||
| Operational/Managerial Control | Nov 14, 2019 | ||
| Kathrine Marie Galvan | 5% Or Greater Direct Ownership Interest | Aug 1, 2022 | 10% |
| Corporate Director | Aug 1, 2022 | ||
| Operational/Managerial Control | 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
- Grace Salinas-Garcia, M.D., P.a.
- Gerard A Grace
- Kelsey Grace
- Mary Catherine Grace, PA
- Gracefill Home Health Agency Inc.
- Gracefull, LLC (Premier Home Health Agency)
- Gracehill Senior Living Home (Success on The Spectrum)
- Graceland Psychiatric and Neuromodulation Center PLLC
- Graceland Psychiatry Solutions PLLC
- Camila Beatriz Gracia, LMFT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.