Organization Active NPI

River City Hospice of Texas, LLC

  • Community Based Hospice Care Agency
  • San Antonio, TX
National Provider Identifier
1699072504
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
RIVER CITY HOSPICE OF TEXAS, LLC
Practice address
6523 Moss Oak Dr
San Antonio, TX 78229-4221
Phone
(210) 858-9138
Fax
(210) 568-4171
NPI assigned
Feb 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Ms. Janet R Montagne
Title
Ceo
Phone
(409) 201-5540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

6523 Moss Oak Dr
San Antonio, TX 78229-4221

Mailing address

PO Box 20595
Beaumont, TX 77720-0595
Phone (409) 833-2800

Other identifiers 2

IdentifierTypeStateIssuer
001021231MedicaidTX
014112OtherTXSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110719000239 TX Part A Provider - Hospice 0648448662 Practice locations: San Antonio, TX

Hospice certification: CCN 671716

Legal name
RIVER CITY HOSPICE OF TEXAS, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 14, 2012
Last certification
Dec 30, 2021
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Enrollment address
6523 Moss Oak Dr
San Antonio, TX 78229-4221

Care Compare: Hospice

Medicare Care Compare
Listed as
River City Hospice of Texas, L.L.C.CCN 671716 ยท All quality measures
Ownership
For-Profit
Certified
Feb 14, 2012
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1001 S Main St
Ste 2
Boerne, TX 78006
Phone (800) 366-7696

1720 Avenue M
Hondo, TX 78861
Phone (830) 584-2030

4203 Gardendale St
Ste C
San Antonio, TX 78229

4203 Gardendale St
Ste 102
San Antonio, TX 78229

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
Janet Montagne Individual 5% Or Greater Direct Ownership InterestChief Executive Officer Jan 1, 2011 100%
Corporate OfficerCeo Jan 1, 2011
Corporate DirectorChief Executive Officer May 8, 2011 100%
W-2 Managing EmployeeChief Executive Officer May 8, 2011 100%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1297555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1699072504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20595",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777200595",
            "telephone_number": "409-833-2800",
            "fax_number": "409-838-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6523 MOSS OAK DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294221",
            "telephone_number": "210-858-9138",
            "fax_number": "210-568-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY HOSPICE OF TEXAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-13",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "MONTAGNE",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-201-5540",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001021231",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "014112",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.