Comprehensive Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

COMPREHENSIVE HOSPICE CARE, INC.

Practice address

4204 Gardendale St Ste 104
San Antonio, TX 78229-3138

Phone

(210) 614-0200

Fax

(210) 569-6497

NPI assigned

Jun 22, 2017

Last updated

Sep 26, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ximena Perez de Leon

Title

Coo

Phone

(210) 614-0200

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619497450. Details of each certification follow.

• CCN 971551 Hospice · Active · Details

Hospice certification: CCN 971551

Legal name

COMPREHENSIVE HOSPICE CARE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 3, 2020

Last certification

Jan 3, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jun 24, 2017 in TX

Enrollment address

4204 Gardendale St
Ste 104
San Antonio, TX 78229-3138

Listed as

Comprehensive Hospice Care IncCCN 971551 · All quality measures

Ownership

For-Profit

Certified

Jan 3, 2020

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

All disclosed owners & managing parties 2

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

Affiliated clinicians 1

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

• Michael W Mann, M.D.

  • Family Medicine Physician
  • Bulverde, TX
  • NPI 1316985583

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1619497450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 GARDENDALE ST STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293138",
            "telephone_number": "210-614-0200",
            "fax_number": "210-569-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 GARDENDALE ST STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293138",
            "telephone_number": "210-614-0200",
            "fax_number": "210-569-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "PEREZ DE LEON",
        "authorized_official_first_name": "XIMENA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "210-614-0200"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDHHS",
            "identifier": "019401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "971551",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2171662",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.

Verify at the official NPI Registry.