Active NPI
River City Hospice of Texas, LLC
- Community Based Hospice Care Agency
- San Antonio, TX
National Provider Identifier
1699072504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001021231 | Medicaid | TX | |
| 014112 | Other | TX | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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.
- Ownership
- For-Profit
- Certified
- Feb 14, 2012
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Janet Montagne | 5% Or Greater Direct Ownership Interest | Jan 1, 2011 | 100% |
| Corporate Officer | Jan 1, 2011 | ||
| Corporate Director | May 8, 2011 | 100% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.