Organization Active NPI

Caylor Hospice LLC

Doing business as Inspiration Hospice

  • Community Based Hospice Care Agency
  • San Antonio, TX
National Provider Identifier
1346890449
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CAYLOR HOSPICE LLC
Doing business as
Inspiration Hospice
Practice address
1100 NE Loop 410 Ste 706
San Antonio, TX 78209-1537
Phone
(210) 874-4999
Fax
(210) 874-4888
NPI assigned
Sep 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Authorized official

Name
Robert Scott Wren
Title
President
Phone
(801) 349-6933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1100 NE Loop 410 Ste 706
San Antonio, TX 78209-1537

Mailing address

1100 NE Loop 410 Ste 706
San Antonio, TX 78209-1537
Phone (210) 874-4999

Other names 1

  • Inspiration Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200206001765 TX Part A Provider - Hospice 6608202882 Practice locations: San Antonio, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346890449. Details of each certification follow.

Hospice certification: CCN 971587

Legal name
CAYLOR HOSPICE LLC
Doing business as
INSPIRATION HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 9, 2020
Last certification
Apr 9, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Sep 1, 2019 in TX
Enrollment address
1100 NE Loop 410
Ste 706
San Antonio, TX 78209-1537

Care Compare: Hospice

Medicare Care Compare
Listed as
Inspiration HospiceCCN 971587 · All quality measures
Ownership
For-Profit
Certified
Apr 9, 2020
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2316690Caylor Hospice LLC1100 NE Loop 410, Suite 706, San Antonio, TX 78209Certificate of waiverJan 9, 2027

National Provider Directory

National Provider Directory

Locations

6720 Via Austi Pkwy
Ste 250
Las Vegas, NV 89119
Phone (702) 463-4050

1840 Lockhill Selma Rd
Ste 103K
San Antonio, TX 78213
Phone (210) 994-5388

1844 Lockhill Selma Rd
Ste 101K
San Antonio, TX 78213
Phone (210) 994-5388

8600 Wurzbach Rd
Ste 702K
San Antonio, TX 78240
Phone (210) 994-5388

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Benjamin R Modesitt Individual 5% Or Greater Direct Ownership InterestOwner Sep 18, 2023 7.5%
Corporate OfficerOwner Sep 18, 2023 7.5%
Corporate DirectorOwner Sep 18, 2023 7.5%
James G Rowley Individual 5% Or Greater Direct Ownership InterestOwner Sep 18, 2023 33.75%
Corporate OfficerOwner Sep 18, 2023 33.75%
Corporate DirectorOwner Sep 18, 2023 33.75%
Robert Wren Individual 5% Or Greater Direct Ownership InterestOwner Sep 18, 2023 20%
Corporate OfficerOwner Sep 18, 2023 20%
Corporate DirectorOwner Sep 18, 2023 20%
Operational/Managerial ControlCoo Sep 18, 2023 20%
Justin Mansfield Individual Contracted Managing EmployeeMD; May 1, 2025 10%
Julie a Shupe Individual 5% Or Greater Direct Ownership InterestAdministrator/Owner Sep 18, 2023 5%
W-2 Managing EmployeeAd; Oct 21, 2024 40%
Jay R Wren Individual 5% Or Greater Direct Ownership InterestOwner Sep 18, 2023 33.75%
Corporate OfficerOwner Sep 18, 2023 33.75%
Corporate DirectorOwner Sep 18, 2023 33.75%

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1346890449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NE LOOP 410 STE 706",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091537",
            "telephone_number": "210-874-4999",
            "fax_number": "210-796-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NE LOOP 410 STE 706",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091537",
            "telephone_number": "210-874-4999",
            "fax_number": "210-874-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAYLOR HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "WREN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-349-6933"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inspiration Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.