Active NPI
Caylor Hospice LLC
Doing business as Inspiration Hospice
- Community Based Hospice Care Agency
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Hospice
- Ownership
- For-Profit
- Certified
- Apr 9, 2020
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2316690 | Caylor Hospice LLC | Certificate of waiver | Jan 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Benjamin R Modesitt | 5% Or Greater Direct Ownership Interest | Sep 18, 2023 | 7.5% |
| Corporate Officer | Sep 18, 2023 | 7.5% | |
| Corporate Director | Sep 18, 2023 | 7.5% | |
| James G Rowley | 5% Or Greater Direct Ownership Interest | Sep 18, 2023 | 33.75% |
| Corporate Officer | Sep 18, 2023 | 33.75% | |
| Corporate Director | Sep 18, 2023 | 33.75% | |
| Robert Wren | 5% Or Greater Direct Ownership Interest | Sep 18, 2023 | 20% |
| Corporate Officer | Sep 18, 2023 | 20% | |
| Corporate Director | Sep 18, 2023 | 20% | |
| Operational/Managerial Control | Sep 18, 2023 | 20% | |
| Justin Mansfield | Contracted Managing Employee | May 1, 2025 | 10% |
| Julie a Shupe | 5% Or Greater Direct Ownership Interest | Sep 18, 2023 | 5% |
| W-2 Managing Employee | Oct 21, 2024 | 40% | |
| Jay R Wren | 5% Or Greater Direct Ownership Interest | Sep 18, 2023 | 33.75% |
| Corporate Officer | Sep 18, 2023 | 33.75% | |
| Corporate Director | 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.
-
- Internal Medicine Physician
- Ogden, UT
- NPI 1699707059
Contracted Managing Employee
-
- Physician Assistant
- Murray, UT
- NPI 1710098058
5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer
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.
-
- Gerontology Nurse Practitioner
- San Antonio, TX
- NPI 1508485970
-
- Nurse Practitioner
- Salt Lake City, UT
- NPI 1427497502
-
- Internal Medicine Physician
- Ogden, UT
- NPI 1699707059
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.