Active NPI
BST Health Services Corp
- Skilled Nursing Facility
- San Antonio, TX
On this page
- Key facts
- Authorized official
- Owners & managing parties with NPI records5
- Owned or controlled facilities with NPI records1
- Other NPIs with the same Medicare PAC ID1
- Facilities with the same owner1
- Affiliated clinicians12
- Care Compare: Nursing home
- Medicare participation
- All disclosed owners & managing parties23
- All facility ownership & control disclosures1
- National Provider Directory
- Specialties & licenses2
- Addresses
- Other names1
- NPI Registry JSON
- Other providers in San Antonio, TX
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 116179
- 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.
-
- Anesthesiology Physician
- Corpus Christi, TX
- NPI 1205829306
Adp of the SNF, Corporate Director, Managing Control - Governing Body
-
- Community Based Hospice Care Agency
- San Antonio, TX
- NPI 1861259731
Operational/Managerial Control
-
- Internal Medicine Physician
- Beaumont, TX
- NPI 1366548547
Adp of the SNF, Operational/Managerial Control
-
- Internal Medicine Physician
- Jbsa Lackland, TX
- NPI 1093885246
Adp of the SNF, Corporate Director, Managing Control - Governing Body
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Floresville, TX
- NPI 1801880869
Adp of the SNF, Corporate Director, Managing Control - Governing Body
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- San Antonio, TX
- NPI 1861259731
Operational/Managerial Control
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Community Based Hospice Care Agency
- San Antonio, TX
- NPI 1861259731
0244256303
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- San Antonio, TX
- NPI 1861259731
Air Force Village Inc, BST Health Services Corp
Affiliated clinicians 12
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Physical Medicine & Rehabilitation Physician
- San Antonio, TX
- NPI 1982863056
Nursing home
-
- Geriatric Medicine (Family Medicine) Physician
- San Antonio, TX
- NPI 1558546572
Nursing home
-
- Acute Care Nurse Practitioner
- Lackland a F B, TX
- NPI 1316256746
Nursing home
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1427054055
Nursing home
Care Compare: Nursing home
Medicare Care Compare- Listed as
- The Mission at Blue Skies of Texas East
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare
- Ownership
- Non profit - Corporation
- Certified
- Jan 5, 2005
- Medicare certification status
- Active
- Certified beds
- 80
- Penalties (3 years)
- 1
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
- Corporation
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051205000314 | TX | Part A Provider - Skilled Nursing Facility | 0244256303 | Practice locations: San Antonio, TX |
All disclosed owners & managing parties 23
Medicare enrollment filesAs 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 |
|---|---|---|---|
| BST Health Services Corp | Operational/Managerial Control | Nov 1, 2011 | 100% |
| Michael Dubensky | Corporate Director | Jan 1, 2023 | |
| Managing Control - Governing Body | Jan 1, 2023 | ||
| Adp of the SNF | Jan 22, 2025 | ||
| Joseph Moran | Corporate Director | Nov 9, 2023 | |
| Managing Control - Governing Body | Nov 9, 2023 | ||
| Adp of the SNF | Jan 22, 2025 | ||
| Charles Potter | Corporate Director | Nov 1, 2022 | |
| Managing Control - Governing Body | Nov 1, 2022 | ||
| Adp of the SNF | Jan 22, 2025 | ||
| Sushanta K Goswami | Operational/Managerial Control | Jan 13, 2025 | |
| Adp of the SNF | Jan 22, 2025 | ||
| Heather Ransom | Corporate Officer | Jan 1, 2024 | |
| Operational/Managerial Control | Dec 19, 2024 | ||
| Adp of the SNF | Jan 22, 2025 | ||
| Amy Lyons | Corporate Officer | Jul 1, 2024 | |
| Operational/Managerial Control | Dec 18, 2024 | ||
| Adp of the SNF | Jan 22, 2025 | ||
| Darrell Jones | Corporate Officer | Jan 14, 2018 | |
| Operational/Managerial Control | Dec 18, 2024 | ||
| Adp of the SNF | Jan 22, 2025 | ||
| Deborah Hepburn | Corporate Director | Jan 1, 2023 | |
| Managing Control - Governing Body | Jan 1, 2023 | ||
| Adp of the SNF | Jan 22, 2025 | ||
| Richard Kardys | Corporate Director | Jan 1, 2023 | |
| Managing Control - Governing Body | Jan 1, 2023 | ||
| Adp of the SNF | Jan 22, 2025 | ||
| Air Force Village Inc | Operational/Managerial Control | Nov 1, 2011 | 100% |
| Adp of the SNF | Jan 22, 2025 | ||
| Roger Hansen | Corporate Director | Jan 1, 2021 | |
| Managing Control - Governing Body | Jan 1, 2021 | ||
| Adp of the SNF | Jan 22, 2025 | ||
| Sally Kelly-Rank | Operational/Managerial Control | Dec 19, 2024 | |
| Adp of the SNF | Jan 22, 2025 | ||
| Katherine Hostage | Corporate Director | Nov 1, 2016 | |
| Managing Control - Governing Body | Nov 1, 2016 | ||
| Adp of the SNF | Jan 22, 2025 | ||
| Gary Schnelzer | Corporate Director | Nov 1, 2022 | |
| Managing Control - Governing Body | Nov 1, 2022 | ||
| Adp of the SNF | Jan 22, 2025 | ||
| Diane R. Biery | Corporate Director | Jan 1, 2023 | |
| Managing Control - Governing Body | Jan 1, 2023 | ||
| Adp of the SNF | Jan 22, 2025 | ||
| Stephen Meigs | Corporate Director | Nov 9, 2023 | |
| Managing Control - Governing Body | Nov 9, 2023 | ||
| Adp of the SNF | Jan 22, 2025 | ||
| Leonardo Claudio Profenna | Corporate Director | Jan 1, 2018 | |
| Managing Control - Governing Body | Jan 1, 2018 | ||
| Adp of the SNF | Jan 22, 2025 | ||
| Alfred Flowers | Corporate Director | Jan 1, 2022 | |
| Managing Control - Governing Body | Jan 1, 2022 | ||
| Adp of the SNF | Jan 22, 2025 | ||
| Helen Bryan | Corporate Director | Nov 9, 2023 | |
| Managing Control - Governing Body | Nov 9, 2023 | ||
| Adp of the SNF | Jan 22, 2025 | ||
| Janice Olsen | Corporate Director | May 1, 2017 | |
| Managing Control - Governing Body | May 1, 2017 | ||
| Adp of the SNF | Jan 22, 2025 | ||
| Sarah Manzke | Corporate Officer | Oct 1, 2023 | |
| Operational/Managerial Control | Dec 19, 2024 | ||
| Adp of the SNF | Jan 22, 2025 | ||
| Robert M Kruger | Corporate Director | Nov 9, 2023 | |
| Managing Control - Governing Body | Nov 9, 2023 | ||
| Adp of the SNF | Jan 22, 2025 |
All facility ownership & control disclosures 1
Medicare enrollment filesFacilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Blue Skies Hospice | Hospice | Operational/Managerial Control | Oct 17, 2024 |
National Provider Directory
National Provider Directory- Tax ID family
- BST Health Services Corp
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- San Antonio, TX
- NPI 1215309661
-
- Community Based Hospice Care Agency
- San Antonio, TX
- NPI 1861259731
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | 116179 | TX | |
| Skilled Nursing Facility | 314000000X | 116179 | TX | Primary |
Addresses
NPPES NPI RegistryPrimary 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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 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.