Aaa Hospice and Palliative Care, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AAA HOSPICE AND PALLIATIVE CARE, LLC

Practice address

13315 Pecan Glade
San Antonio, TX 78249-4526

Phone

(210) 818-4700

NPI assigned

Jun 10, 2021

Organization subpart

No

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

Authorized official

Name

Isibor Iyinbor

Title

Owner

Phone

(210) 818-4700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN A91614

Legal name

AAA HOSPICE AND PALLIATIVE CARE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 14, 2023

Last certification

Mar 23, 2023

Organization structure

LLCProprietary

Incorporated

Jun 1, 2021 in TX

Enrollment address

1100 NW Loop 410
Ste 761
San Antonio, TX 78213-2263

Listed as

Aaa Hospice and Palliative Care LLCCCN A91614

Certified

Apr 14, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1710554357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13315 PECAN GLADE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782494526",
            "telephone_number": "210-818-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13315 PECAN GLADE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782494526",
            "telephone_number": "210-818-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAA HOSPICE AND PALLIATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-08",
        "status": "A",
        "authorized_official_last_name": "IYINBOR",
        "authorized_official_first_name": "ISIBOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-818-4700"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.