Nightingale Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

NIGHTINGALE HOSPICE CARE INC

Practice address

4400 NW Loop 410 RM 1
San Antonio, TX 78229-5144

Phone

(210) 797-1321

Fax

(210) 855-0111

NPI assigned

Sep 3, 2019

Organization subpart

No

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

Authorized official

Name

James Albert Grismore, RN

Title

Ceo

Phone

(210) 797-7321

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 971643

Legal name

NIGHTINGALE HOSPICE CARE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 7, 2021

Last certification

May 7, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Aug 13, 2019 in TX

Enrollment address

4400 NW Loop 410
Ste 115 Room #1
San Antonio, TX 78229-5170

Listed as

Nightingale Hospice Care, Inc.CCN 971643 · All quality measures

Ownership

For-Profit

Certified

May 7, 2021

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.

• Lucina B Trevino, MD

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1003981242

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Jorge Betanco, MD

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1558417147

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1639727647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 NW LOOP 410 RM 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295144",
            "telephone_number": "210-797-1321",
            "fax_number": "210-855-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 NW LOOP 410 RM 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295144",
            "telephone_number": "210-797-1321",
            "fax_number": "210-855-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGHTINGALE HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "GRISMORE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-797-7321",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Nieves, LCSW
• Eli Vicente Nievesperez, RN
• Brad Niewierowski, DC
• Night & Day Pediatrics PA
• Nightingale Home Health Care Inc
• Navin Srinivas Nikam, MD
• Aris Nikas, M.D.
• Nikhil Dhawan MD PLLC
• Nikki Whole Health LLC
• Narges Niknami, DDS

• 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 Nov 13, 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.