Southern Belle Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SOUTHERN BELLE HOSPICE LLC

Practice address

17806 Ih 10 W Ste 327
San Antonio, TX 78257-8221

Phone

(210) 580-6210

Fax

(512) 764-6900

NPI assigned

Feb 25, 2022

Organization subpart

No

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

Authorized official

Name

Aneela Rashid

Title

Owner

Phone

(210) 580-6210

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN A91597

Legal name

SOUTHERN BELLE HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 4, 2022

Last certification

Sep 22, 2022

Organization structure

LLCProprietary

Incorporated

Feb 22, 2022 in TX

Enrollment address

9035 Indigo LK
San Antonio, TX 78245-1673

Listed as

Southern Belle Hospice LLCCCN A91597

Certified

Oct 4, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Ravi Kanth Reddy Yalamuri, MD

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1568791010

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Sudhir R Gogu, D.O., PHD, MBA

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1942270400

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1700532983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17806 IH 10 W STE 327",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782578221",
            "telephone_number": "210-580-6210",
            "fax_number": "512-764-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17806 IH 10 W STE 327",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782578221",
            "telephone_number": "210-580-6210",
            "fax_number": "512-764-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN BELLE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-25",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "RASHID",
        "authorized_official_first_name": "ANEELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-580-6210"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.

Verify at the official NPI Registry.