American Medical Hospice Care, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

016852 Issued in TX

Legal business name

AMERICAN MEDICAL HOSPICE CARE, LLC

Practice address

5805 Callaghan Rd Ste 300
San Antonio, TX 78228-1127

Phone

(210) 812-5709

Fax

(210) 812-5703

NPI assigned

Mar 9, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Robert Dojonovic

Title

President

Phone

(724) 684-4450

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• American Medical Hospice & Palliative Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 741619

Legal name

AMERICAN MEDICAL HOSPICE CARE LLC.

Doing business as

AMERICAN MEDICAL HOSPICE & PALLIATIVE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 26, 2016

Last certification

May 12, 2022

Ownership / control type

Proprietary - Individual

Organization structure

OtherProprietary

Incorporated

Mar 6, 2015 in TX

Enrollment address

5805 Callaghan Rd
Ste 300
San Antonio, TX 78228-1127

Listed as

American Medical Hospice & Palliative CareCCN 741619

Ownership

For-Profit

Certified

May 26, 2016

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 6

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.

• Lokesh Goyal

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1164963435

  W-2 Managing Employee

  CMS ownership

Practitioners 2

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

• Harry Hernandez, DO

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1659474211
  NPD (past)
• Walter Walthall, MD

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1750460317
  NPD (past)

Affiliated clinicians 1

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

• Justo Cisneros, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • San Antonio, TX
  • NPI 1427168061
  Care Compare affiliation

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

{
    "created_epoch": "1425859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1801289335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 VALLEY BROOK ROAD",
            "address_2": "STE 201",
            "city": "MCMURRAY",
            "state": "PA",
            "postal_code": "153179610",
            "telephone_number": "724-684-4550",
            "fax_number": "724-684-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 CALLAGHAN RD STE 300",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281127",
            "telephone_number": "210-812-5709",
            "fax_number": "210-812-5703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5656 S Staples St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784114655",
            "country_code": "US",
            "telephone_number": "361-887-9761",
            "fax_number": "361-887-9762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AMERICAN MEDICAL HOSPICE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-09",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "DOJONOVIC",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-684-4450",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "016852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "741619",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Medical Hospice & Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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