Organization Active NPI

Allwell Care,LLC

Doing business as Pure Heart Hospice

  • Community Based Hospice Care Agency
  • San Antonio, TX
National Provider Identifier
1649885476
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Sep 9, 2020

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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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
LLCNon-profit
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 HospiceCCN 971644 · All quality measures
Ownership
For-Profit
Certified
May 17, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2194408Allwell Care LLC4211 Gardendale Ste A102, San Antonio, TX 78229Certificate of waiverSep 29, 2026

National Provider Directory

National Provider Directory

Locations

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

  • Direct secure messaging: 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.

NameRoleSinceShare
Stephen Oyinloye Individual 5% Or Greater Direct Ownership Interest Aug 21, 2020 100%
Corporate OfficerCeo Jul 22, 2020 100%
Corporate DirectorCeo Jul 22, 2020 100%
Operational/Managerial ControlCeo 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.

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

Sources for this page

Verify at the official NPI Registry.