Active NPI
Tejas Quality Home Healthcare, Inc.
- Community Based Hospice Care Agency
- San Antonio, TX
National Provider Identifier
1679794408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 5403
- Legal business name
- TEJAS QUALITY HOME HEALTHCARE, INC.
- Practice address
- 4903 Golden Quail
Suite 110
San Antonio, TX 78240-1584 - Phone
- (210) 734-6300
- Fax
- (409) 935-7926
- NPI assigned
- May 1, 2007
- 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
- Walter F Crowder
- Title
- Ceo
- Phone
- (409) 935-1234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 5403 | TX | Primary |
Addresses
Primary practice location
4903 Golden Quail
Suite 110
San Antonio, TX 78240-1584
Mailing address
8900 Emmett F Lowry Expy
Suite 104
Texas City, TX 77591-9116
Phone (409) 935-7913
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryOwnership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jun 10, 2020 | Change of Ownership | Three Oaks Hospice |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Three Oaks Hospice
- Community Based Hospice Care Agency
- Austin, TX
- NPI 1093334765
Sold to, 2020-06-10
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583884800000",
"number": "1679794408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8900 EMMETT F LOWRY EXPY",
"address_2": "SUITE 104",
"city": "TEXAS CITY",
"state": "TX",
"postal_code": "775919116",
"telephone_number": "409-935-7913",
"fax_number": "409-935-7926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4903 GOLDEN QUAIL",
"address_2": "SUITE 110",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782401584",
"telephone_number": "210-734-6300",
"fax_number": "409-935-7926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEJAS QUALITY HOME HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A",
"authorized_official_last_name": "CROWDER",
"authorized_official_first_name": "WALTER",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "409-935-1234"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "TX",
"license": "5403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.