Companion Hospice and Palliative Care of South Texas, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COMPANION HOSPICE AND PALLIATIVE CARE OF SOUTH TEXAS, LLC

Practice address

3201 Cherry Ridge Dr Ste C300
San Antonio, TX 78230-4826

Phone

(855) 320-5552

Fax

(855) 321-5552

NPI assigned

Jun 8, 2015

Last updated

Oct 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Judith Laurena King-Cole

Title

Executive Assistant to Ceo

Phone

(714) 741-0273

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316327950. Details of each certification follow.

• CCN 741599 Hospice · Active · Details

Hospice certification: CCN 741599

Legal name

COMPANION HOSPICE AND PALLIATIVE CARE OF SOUTH TEXAS LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 1, 2016

Last certification

Mar 7, 2019

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Incorporated

Apr 16, 2015 in CA

Enrollment address

3201 Cherry Ridge Dr
Ste C300
San Antonio, TX 78230-4826

Listed as

Companion Hospice and Palliative Care of South Texas LLCCCN 741599 · All quality measures

Ownership

For-Profit

Certified

Apr 1, 2016

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 11

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 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Tamre B McClelland, M.D.

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1871601385

  Limited Partnership Interest

  CMS ownership
• Mary Suzanne Nguyen, M.D.

  • Family Medicine Physician
  • Castroville, TX
  • NPI 1356339717

  Limited Partnership Interest

  CMS ownership
• Carlos Porter, M.D.

  • Family Medicine Physician
  • Fair Oaks Ranch, TX
  • NPI 1013918242

  Limited Partnership Interest

  CMS ownership
• Lloyd P Vanwinkle, MD

  • Family Medicine Physician
  • Castroville, TX
  • NPI 1306833173

  5% Or Greater Direct Ownership Interest, Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Lloyd P Vanwinkle, MD

  • Family Medicine Physician
  • Castroville, TX
  • NPI 1306833173

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1316327950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N STATE COLLEGE BLVD STE 1250",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928686616",
            "telephone_number": "714-741-0273",
            "fax_number": "714-534-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 CHERRY RIDGE DR STE C300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304826",
            "telephone_number": "855-320-5552",
            "fax_number": "855-321-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPANION HOSPICE AND PALLIATIVE CARE OF SOUTH TEXAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "KING-COLE",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "LAURENA",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT TO CEO",
        "authorized_official_telephone_number": "714-741-0273"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 16, 2023; 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.