Organization Active NPI

Anchored by Grace Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • San Antonio, TX
National Provider Identifier
1780356931
Registry record updated Jun 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ANCHORED BY GRACE HOSPICE CARE, INC.
Practice address
2819 NW Loop 410 Ste P
San Antonio, TX 78230-5105
Phone
(210) 444-9177
Fax
(210) 460-3485
NPI assigned
Oct 5, 2021
Last updated
Jun 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2025

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

Authorized official

Name
Shanna Wurm
Title
Ceo/President
Phone
(210) 444-9177

Specialties & licenses 1

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

Addresses

Primary practice location

2819 NW Loop 410 Ste P
San Antonio, TX 78230-5105

Mailing address

2819 NW Loop 410 Ste P
San Antonio, TX 78230-5105

Other names 1

  • Anchored by Grace Hospice Care, Inc. Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220331001343 TX Part A Provider - Hospice 4789070749 Practice locations: San Antonio, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780356931. Details of each certification follow.

Hospice certification: CCN A91591

Legal name
ANCHORED BY GRACE HOSPICE CARE INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 14, 2022
Last certification
Sep 1, 2022
Ownership / control type
Proprietary - Individual
Organization structure
CorporationProprietary
Enrollment address
2819 NW Loop 410
Ste P
San Antonio, TX 78230-5105

Care Compare: Hospice

Medicare Care Compare
Listed as
Anchored by Grace Hospice Care IncCCN A91591 · All quality measures
Certified
Sep 14, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2240258Anchored by Grace Hospice Care, Inc2819 NW Loop 410 Ste P, San Antonio, TX 78230Certificate of waiverOct 17, 2027

National Provider Directory

National Provider Directory

Locations

2819 NW Loop 410
Ste P
San Antonio, TX 78230
Phone (210) 444-9177

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Lucina B Trevino Individual Contracted Managing EmployeeMD; Dec 8, 2025
Shanna Wurm Individual 5% Or Greater Direct Ownership Interest Oct 2, 2023 100%
Corporate Officer Oct 2, 2023
Corporate DirectorPresident Oct 2, 2023
W-2 Managing EmployeeAd; Oct 2, 2023
Alexis Montelongo Individual W-2 Managing Employee Jan 30, 2025

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749254400000",
    "number": "1780356931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 NW LOOP 410 STE P",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 NW LOOP 410 STE P",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305105",
            "telephone_number": "210-444-9177",
            "fax_number": "210-460-3485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORED BY GRACE HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2025-06-07",
        "certification_date": "2025-06-06",
        "status": "A",
        "authorized_official_last_name": "WURM",
        "authorized_official_first_name": "SHANNA",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "210-444-9177"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anchored by Grace Hospice Care, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.