Organization Active NPI

Tejas Quality Home Healthcare, Inc.

  • Community Based Hospice Care Agency
  • San Antonio, TX
National Provider Identifier
1679794408
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
5403 Issued in TX
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

Updated by the provider on Mar 11, 2020

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)CodeLicenseStatePrimary
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 Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jun 10, 2020 Change of OwnershipThis provider was the seller Three Oaks HospiceCCN 451788, TX, NPI 1093334765

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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

Verify at the official NPI Registry.