Active NPI
BST Health Services Corp
Doing business as The Mission at Blue Skies of Texas East
- Skilled Nursing Facility
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 116179
- Legal business name
- BST HEALTH SERVICES CORP
- Doing business as
- The Mission at Blue Skies of Texas East
- Practice address
- 4949 Ravenswood Drive
San Antonio, TX 78227-4320 - Phone
- (210) 568-5159
- Fax
- (210) 568-5179
- NPI assigned
- Aug 30, 2006
- Last updated
- Feb 29, 2024
- 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
- Mr. Brian Englund, CPA
- Title
- Cfo/Treasurer
- Phone
- (210) 568-6325
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | 116179 | TX | |
| Skilled Nursing Facility | 314000000X | 116179 | TX | Primary |
Addresses
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
- The Mission at Blue Skies of Texas East
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
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 |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1336259142. Details of each certification follow.
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
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Blue Skies Hospice
- Community Based Hospice Care Agency
- San Antonio, TX
- NPI 1861259731
0244256303
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
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.
-
dba Arnold House at Blue Skies of Texas East
- Assisted Living Facility
- San Antonio, TX
- NPI 1215309661
-
dba Blue Skies Hospice
- Community Based Hospice Care Agency
- San Antonio, TX
- NPI 1861259731
Ownership & related parties
All disclosed owners & managing parties 23
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 |
|---|---|---|---|
| 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 |
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
-
dba Blue Skies Hospice
- 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
All facility ownership & control disclosures 1
Facilities 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 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Blue Skies Hospice
- Community Based Hospice Care Agency
- San Antonio, TX
- NPI 1861259731
Operational/Managerial Control
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Blue Skies Hospice
- Community Based Hospice Care Agency
- San Antonio, TX
- NPI 1861259731
Air Force Village Inc, BST Health Services Corp
Practitioners & affiliated clinicians
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 AFB, TX
- NPI 1316256746
Nursing home
-
- Internal Medicine Physician
- San Antonio, TX
- NPI 1427054055
Nursing home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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
- Robert G. Brzyski, M.D.
- Enas Bsoul, DDS
- Samer A Bsoul, DDS MS
- BST Health Services Corp (The Vista at Blue Skies of Texas West)
- BST Health Services Corp (Arnold House at Blue Skies of Texas East)
- BST Health Services Corp (Blue Skies Hospice)
- Btdi JV, LLP (Touchstone Imaging Stone Oak)
- Btdi JV, LLP (Sendero Imaging and Treatment Center South)
- Btdi JV, LLP (Touchstone Imaging Medical Center)
- Julie Ann Corpuz Bucannon, MS, RDN, LD
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.