Abundant Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ABUNDANT HOSPICE, LLC

Practice address

400 N Loop 1604 E Ste 300
San Antonio, TX 78232-1223

Phone

(210) 608-0081

Fax

(210) 855-6118

NPI assigned

Aug 22, 2019

Organization subpart

No

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

Authorized official

Name

Denise Jaworski

Title

Administrator / Owner

Phone

(210) 608-0081

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 971593

Legal name

ABUNDANT HOSPICE, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 14, 2020

Last certification

Aug 14, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Apr 15, 2019 in TX

Enrollment address

400 N Loop 1604 E
Ste 300
San Antonio, TX 78232-1223

Listed as

Abundant Hospice, LLCCCN 971593

Ownership

For-Profit

Certified

Aug 14, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

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.

• George Wilcox, DO

  • Hospitalist Physician
  • San Antonio, TX
  • NPI 1609973650

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 2

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

• Orlando Kypuros, MD

  • Internal Medicine Physician
  • Converse, TX
  • NPI 1225103872

  Hospice

  Care Compare affiliation
• George Wilcox, DO

  • Hospitalist Physician
  • San Antonio, TX
  • NPI 1609973650

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1306493499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N LOOP 1604 E STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321223",
            "telephone_number": "210-608-0081",
            "fax_number": "210-855-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N LOOP 1604 E STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321223",
            "telephone_number": "210-608-0081",
            "fax_number": "210-855-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "JAWORSKI",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "ADMINISTRATOR / OWNER",
        "authorized_official_telephone_number": "210-608-0081"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremias M. Abueme, M.D.
• Rana Abuhilal, BDS,DDS
• Jacob Matthew Abulencia
• Abundance Now Community Based Services LLC
• Abundant Ambulance LLC
• Emily Rebbekah Abundis
• Ghassan Halim Abusaid, M.D.
• Hiba Abusaid, DDS
• Margaret Abuzeid, M.D.
• Eildar Abyar, M.D.

• 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 Oct 9, 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.