Journeys Hospice of Texas LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

JOURNEYS HOSPICE OF TEXAS LLC

Doing business as

Journeys Hospice of Texas, LLC

Practice address

4831 Whirlwind Dr Ste 1
San Antonio, TX 78217-3701

Phone

(210) 296-6898

Fax

(833) 467-5468

NPI assigned

Nov 23, 2018

Organization subpart

No

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

Authorized official

Name

Angel Jorge Resendiz

Title

Administrator

Phone

(210) 296-6898

Specialties & licenses 1

Addresses

Other names 1

• Journeys Hospice of Texas, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 971543

Legal name

JOURNEYS HOSPICE OF TEXAS LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 11, 2019

Last certification

Nov 11, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Oct 26, 2018 in TX

Enrollment address

4831 Whirlwind Dr
Ste 1
San Antonio, TX 78217-3701

Listed as

Journeys Hospice of Texas LLCCCN 971543 · All quality measures

Ownership

Other

Certified

Nov 11, 2019

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

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

Owners & managing parties with NPI records 1

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

• Vincent Gregory Gonzaba, MD

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1538192489

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership

Affiliated clinicians 3

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

• Vincent Gregory Gonzaba, MD

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1538192489

  Hospice

  Care Compare affiliation
• Edwin Gabriel Otero Rivera, MD, MPH

  • Hospitalist Physician
  • San Antonio, TX
  • NPI 1740704303

  Hospice

  Care Compare affiliation
• Ruben Longoria Tenorio Jr., D.O.

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1134255250

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1542931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1437628179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33472",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782653472",
            "telephone_number": "210-296-6898",
            "fax_number": "833-467-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4831 WHIRLWIND DR STE 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173701",
            "telephone_number": "210-296-6898",
            "fax_number": "833-467-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEYS HOSPICE OF TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-23",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "RESENDIZ",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "JORGE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-296-6898"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Journeys Hospice of Texas, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.

Verify at the official NPI Registry.