Peaceful Bridge Hospice 3, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PEACEFUL BRIDGE HOSPICE 3, INC.

Practice address

11550 W Ih 10 Ste 340
San Antonio, TX 78230-1061

Phone

(855) 478-4161

Fax

(210) 855-7698

NPI assigned

Aug 3, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Samantha Paynter

Title

Administrator

Phone

(925) 961-7997

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN A91606

Legal name

PEACEFUL BRIDGE HOSPICE 3 INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 1, 2023

Last certification

May 11, 2023

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

1610 Blodgett St
Houston, TX 77004-5017

Listed as

Peaceful Bridge Hospice 3, IncCCN A91606

Certified

Jun 1, 2023

Medicare certification status

ActiveFrom the Provider of Services file

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.

• Saba Raja, MD

  • Internal Medicine Physician
  • Webster, TX
  • NPI 1790218592

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Saba Raja, MD

  • Internal Medicine Physician
  • Webster, TX
  • NPI 1790218592

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1639806318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11550 W IH 10 STE 340",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301061",
            "telephone_number": "855-478-4161",
            "fax_number": "210-855-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 W IH 10 STE 340",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301061",
            "telephone_number": "855-478-4161",
            "fax_number": "210-855-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL BRIDGE HOSPICE 3, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-03",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "PAYNTER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "925-961-7997",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peace of Mind Counseling and Consulting
• Peace of Mind Family Guidance and Counseling, PLLC
• Peace of Mind Hospice 3, LLC
• Peace of Mind Hospice LLC
• Peace, Regardless
• Peaceful Heart and Mind Psychiatry LLC
• Peaceful Presence Hospice LLC
• Peaceful Revolution LLC
• Peach Wood Wellness PC
• Adrian Peachey

• 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 Oct 17, 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.