Organization Active NPI

BST Health Services Corp

  • Skilled Nursing Facility
  • San Antonio, TX
National Provider Identifier
1336259142
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
116179 Issued in TX
Legal business name
BST HEALTH SERVICES CORP
Practice address
4949 Ravenswood Drive
San Antonio, TX 78227-4320
Phone
(210) 568-5159
Fax
(210) 568-5179
NPI assigned
Aug 30, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mr. Brian Englund, CPA
Title
Cfo/Treasurer
Phone
(210) 568-6325

Owners & managing parties with NPI records 5

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

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Affiliated clinicians 12

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Mission at Blue Skies of Texas EastCCN 676041
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
Type
Medicare
Ownership
Non profit - Corporation
Certified
Jan 5, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8055.5 residents per day on average
Penalties (3 years)
1Fines totaling $17,345

Processed by Care Compare on Aug 1, 2026.

Medicare participation

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

Skilled nursing facility certification: CCN 676041

Legal name
BST HEALTH SERVICES CORP
Doing business as
THE MISSION AT BLUE SKIES OF TEXAS EAST
Certification status
Active
Provider type (POS)
Nursing home – SNF (Medicare) only
Participating since
Jan 5, 2005
Last certification
May 10, 2024
Beds
80
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Aug 21, 2014 in TX
Enrollment address
4949 Ravenswood Dr
San Antonio, TX 78227-4320
Nursing home name
THE MISSION AT BLUE SKIES OF TEXAS EAST

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051205000314 TX Part A Provider - Skilled Nursing Facility 0244256303 Practice locations: San Antonio, TX

All disclosed owners & managing parties 23

Medicare enrollment files

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

NameRoleSinceShare
BST Health Services Corp Organization, San Antonio, TX Operational/Managerial Control Nov 1, 2011 100%
Michael Dubensky Individual Corporate DirectorDirector Jan 1, 2023
Managing Control - Governing BodyDirector Jan 1, 2023
Adp of the SNF Jan 22, 2025
Joseph Moran Individual Corporate DirectorDirector Nov 9, 2023
Managing Control - Governing BodyDirector Nov 9, 2023
Adp of the SNF Jan 22, 2025
Charles Potter Individual Corporate DirectorChairman of the Board Nov 1, 2022
Managing Control - Governing BodyChairman of the Board Nov 1, 2022
Adp of the SNF Jan 22, 2025
Sushanta K Goswami Individual Operational/Managerial Control Jan 13, 2025
Adp of the SNF Jan 22, 2025
Heather Ransom Individual Corporate OfficerChief Operating Officer Jan 1, 2024
Operational/Managerial Control Dec 19, 2024
Adp of the SNF Jan 22, 2025
Amy Lyons Individual Corporate OfficerChief Financial Officer Jul 1, 2024
Operational/Managerial Control Dec 18, 2024
Adp of the SNF Jan 22, 2025
Darrell Jones Individual Corporate OfficerPresident/Ceo Jan 14, 2018
Operational/Managerial Control Dec 18, 2024
Adp of the SNF Jan 22, 2025
Deborah Hepburn Individual Corporate DirectorDirector Jan 1, 2023
Managing Control - Governing BodyDirector Jan 1, 2023
Adp of the SNF Jan 22, 2025
Richard Kardys Individual Corporate DirectorDirector Jan 1, 2023
Managing Control - Governing BodyDirector Jan 1, 2023
Adp of the SNF Jan 22, 2025
Air Force Village Inc Organization, San Antonio, TX Corporation, Non-profit, Chain home office Operational/Managerial Control Nov 1, 2011 100%
Adp of the SNF Jan 22, 2025
Roger Hansen Individual Corporate DirectorDirector Jan 1, 2021
Managing Control - Governing BodyDirector Jan 1, 2021
Adp of the SNF Jan 22, 2025
Sally Kelly-Rank Individual Operational/Managerial Control Dec 19, 2024
Adp of the SNF Jan 22, 2025
Katherine Hostage Individual Corporate DirectorDirector Nov 1, 2016
Managing Control - Governing BodyDirector Nov 1, 2016
Adp of the SNF Jan 22, 2025
Gary Schnelzer Individual Corporate DirectorDirector Nov 1, 2022
Managing Control - Governing BodyDirector Nov 1, 2022
Adp of the SNF Jan 22, 2025
Diane R. Biery Individual Corporate DirectorDirector Jan 1, 2023
Managing Control - Governing BodyDirectot Jan 1, 2023
Adp of the SNF Jan 22, 2025
Stephen Meigs Individual Corporate DirectorDirector Nov 9, 2023
Managing Control - Governing BodyDirector Nov 9, 2023
Adp of the SNF Jan 22, 2025
Leonardo Claudio Profenna Individual Corporate DirectorDirector Jan 1, 2018
Managing Control - Governing BodyDirector Jan 1, 2018
Adp of the SNF Jan 22, 2025
Alfred Flowers Individual Corporate DirectorDirector Jan 1, 2022
Managing Control - Governing BodyDirector Jan 1, 2022
Adp of the SNF Jan 22, 2025
Helen Bryan Individual Corporate DirectorDirector Nov 9, 2023
Managing Control - Governing BodyDirector Nov 9, 2023
Adp of the SNF Jan 22, 2025
Janice Olsen Individual Corporate DirectorDirector May 1, 2017
Managing Control - Governing BodyDirector May 1, 2017
Adp of the SNF Jan 22, 2025
Sarah Manzke Individual Corporate OfficerChief Growth Officer Oct 1, 2023
Operational/Managerial Control Dec 19, 2024
Adp of the SNF Jan 22, 2025
Robert M Kruger Individual Corporate DirectorDirector Nov 9, 2023
Managing Control - Governing BodyDirector Nov 9, 2023
Adp of the SNF Jan 22, 2025

All facility ownership & control disclosures 1

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Blue Skies HospiceSan Antonio, TX, CCN 671624 Hospice Operational/Managerial Control Oct 17, 2024

National Provider Directory

National Provider Directory
Tax ID family
BST Health Services Corp3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 116179 TX
Skilled Nursing Facility 314000000X 116179 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

4949 Ravenswood Drive
San Antonio, TX 78227-4320

Mailing address

12455 Freedom Way
San Antonio, TX 78245-3526
Phone (210) 838-6325

Other names 1

NPPES NPI Registry
  • The Mission at Blue Skies of Texas East Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 29, 2024.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1336259142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12455 FREEDOM WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782453526",
            "telephone_number": "210-838-6325",
            "fax_number": "210-838-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 RAVENSWOOD DRIVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782274320",
            "telephone_number": "210-568-5159",
            "fax_number": "210-568-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BST HEALTH SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "ENGLUND",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO/TREASURER",
        "authorized_official_telephone_number": "210-568-6325",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "TX",
            "license": "116179",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "116179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Mission at Blue Skies of Texas East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.