Mount Calvary Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MOUNT CALVARY HOSPICE LLC

Practice address

1777 NE Interstate 410 Loop, Ste. 669
San Antonio, TX 78217

Phone

(210) 418-9334

NPI assigned

Nov 20, 2020

Organization subpart

No

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

Authorized official

Name

Ismael Baruch Pelaez

Title

Owner

Phone

(210) 418-9334

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1598368524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 NE INTERSTATE 410 LOOP, STE. 669",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78217",
            "telephone_number": "210-418-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 NE INTERSTATE 410 LOOP, STE. 669",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78217",
            "telephone_number": "210-418-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT CALVARY HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "BARUCH PELAEZ",
        "authorized_official_first_name": "ISMAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-418-9334"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dusti Moultrie
• Rachel Longoria Moumouni
• Brandi Nicole Mounce, CCC-SLP
• Mounger NP First Assist
• Wilmer Kyle Mounger, AG-ACNP
• Rachel Hannah Mount, APRN
• Mountain Radiology, Inc
• Michelle Anne Mourre, CNP
• Erica Mouscardy
• April Mouton, RDH

• 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 Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.