Active NPI
Allwell Care,LLC
Doing business as Pure Heart Hospice
- Community Based Hospice Care Agency
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ALLWELL CARE,LLC
- Doing business as
- Pure Heart Hospice
- Practice address
- 4211 Gardendale St Ste 102A102
San Antonio, TX 78229-3180 - Phone
- (210) 595-1146
- Fax
- (210) 595-1148
- NPI assigned
- Sep 9, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen Tokunbo Oyinloye, REGISTERED NURSE
- Title
- Director of Patient Care
- Phone
- (210) 595-1146
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
4211 Gardendale St Ste 102A102
San Antonio, TX 78229-3180
Mailing address
4211 Gardendale St Ste 102a
San Antonio, TX 78229-3143
Phone (210) 595-1146
Other names 1
- PURE HEART HOSPICE
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | STEPHEN.OYINLOYE@PUREHEARTHOSPICE.COM | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201210002475 | TX | Part A Provider - Hospice | 7618389974 | Practice locations: San Antonio, TX |
Hospice certification: CCN 971644
- Legal name
- ALLWELL CARE,LLC
- Doing business as
- PURE HEART HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- May 17, 2021
- Last certification
- May 17, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Jul 21, 2020 in TX
- Enrollment address
- 4211 Gardendale St
Ste 102a
San Antonio, TX 78229-3143
Care Compare: Hospice
Medicare Care Compare- Listed as
- Pure Heart Hospice
- Ownership
- For-Profit
- Certified
- May 17, 2021
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2194408 | Allwell Care LLC | Certificate of waiver | Sep 29, 2026 |
National Provider Directory
National Provider DirectoryLocations
4211 Gardendale St
Ste 102A102
San Antonio, TX 78229
Phone (210) 595-1146
4211 Gardendale St
Ste 102A
San Antonio, TX 78229
Phone (210) 595-1146
Interoperability endpoints
- stephen.oyinloye@purehearthospice.com
Ownership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Stephen Oyinloye | 5% Or Greater Direct Ownership Interest | Aug 21, 2020 | 100% |
| Corporate Officer | Jul 22, 2020 | 100% | |
| Corporate Director | Jul 22, 2020 | 100% | |
| Operational/Managerial Control | Jul 22, 2020 | 100% |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- San Antonio, TX
- NPI 1053365023
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599609600000",
"number": "1649885476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4211 GARDENDALE ST STE 102A",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293143",
"telephone_number": "210-595-1146",
"fax_number": "210-595-1148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 GARDENDALE ST STE 102A102",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293180",
"telephone_number": "210-595-1146",
"fax_number": "210-595-1148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLWELL CARE,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-09",
"last_updated": "2020-09-09",
"certification_date": "2020-09-09",
"status": "A",
"authorized_official_last_name": "OYINLOYE",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "TOKUNBO",
"authorized_official_title_or_position": "DIRECTOR OF PATIENT CARE",
"authorized_official_telephone_number": "210-595-1146",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "STEPHEN.OYINLOYE@PUREHEARTHOSPICE.COM",
"affiliation": "N",
"endpointDescription": "ORGANIZATION",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4211 Gardendale St Ste 102A102",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782293180",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "PURE HEART HOSPICE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Antonio, TX
- Andrea L. Allred-Crouch, M.D.
- Derrick Brett Allred, M.D.
- Nathon C. Allred, M.D.
- Allstar Partners LP (All Star Medical)
- Krishna C Alluri, MD
- Ally Hospice LLC (Advanced Hospice of Texas)
- Ally Vascular and Pain Centers, PLLC
- Nancy Leigh Allyn, RN
- Alma 3 Surgical Assisting LLC
- Alma L. Aguado, M.D., P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.