CFHC No 20, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CFHC NO 20, INC

Practice address

10300 Heritage St
Suite 130
San Antonio, TX 78216

Phone

(210) 332-5462

Fax

(210) 349-7876

NPI assigned

Oct 12, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Ozgo

Title

Administrator

Phone

(210) 441-2557

Specialties & licenses 1

Addresses

Other names 1

• Alta Vita Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN A91626

Legal name

CFHC NO 20 INC

Doing business as

ALTA VITA HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 23, 2023

Last certification

Jun 15, 2023

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Oct 7, 2021 in TX

Enrollment address

10300 Heritage St
Ste 130
San Antonio, TX 78216-3924

Listed as

Alta Vita HospiceCCN A91626

Certified

Jun 23, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

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 2

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

• Brian Michael Kanatzar, D.O.

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1093033243

  5% Or Greater Direct Ownership Interest, Corporate Director

  CMS ownership
• Michael Christian Glassinger, MD

  • Emergency Medicine Physician
  • Mandeville, LA
  • NPI 1023113792

  5% Or Greater Direct Ownership Interest, Corporate Director

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Michael Kanatzar, D.O.

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1093033243
  NPD (past)

Affiliated clinicians 2

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

• Brian Michael Kanatzar, D.O.

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1093033243

  Hospice

  Care Compare affiliation
• Michael Christian Glassinger, MD

  • Emergency Medicine Physician
  • Mandeville, LA
  • NPI 1023113792

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1760144281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10300 HERITAGE ST",
            "address_2": "SUITE 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78216",
            "telephone_number": "210-332-5462",
            "fax_number": "210-349-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 HERITAGE ST",
            "address_2": "SUITE 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78216",
            "telephone_number": "210-332-5462",
            "fax_number": "210-349-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CFHC NO 20, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "OZGO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-441-2557",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alta Vita Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in San Antonio, TX by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.

Verify at the official NPI Registry.