Elysian Hospice San Antonio LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

017437 Issued in TX

Legal business name

ELYSIAN HOSPICE SAN ANTONIO LLC

Doing business as

Elysian Hospice

Practice address

8122 Datapoint Dr Ste 410B
San Antonio, TX 78229-3272

Phone

(210) 375-5016

Fax

(210) 375-5086

NPI assigned

Jun 20, 2018

Last updated

Feb 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Robin F. Underhill

Title

Chief Executive Officer

Phone

(214) 954-4114

Specialties & licenses 1

Addresses

Other names 1

• Elysian Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851885172. Details of each certification follow.

• CCN 741671 Hospice · Active · Details

Hospice certification: CCN 741671

Legal name

ELYSIAN HOSPICE SAN ANTONIO LLC

Doing business as

ELYSIAN HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 15, 2017

Last certification

Nov 19, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Jun 13, 2018 in TX

Enrollment address

8122 Datapoint Dr
Ste 410B
San Antonio, TX 78229

Listed as

Elysian HospiceCCN 741671 · All quality measures

Ownership

For-Profit

Certified

May 15, 2017

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

Tax ID family

Elysian Hospice2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Saint Michael Palliative Care Inc

  • Community Based Hospice Care Agency
  • Houston, TX
  • NPI 1023463247
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Elysian Hospice LLC

  • Community Based Hospice Care Agency
  • Addison, TX
  • NPI 1568633220

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 18

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.

• Elysian Hospice LLC

  • Community Based Hospice Care Agency
  • Addison, TX
  • NPI 1568633220

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Lloyd P Vanwinkle, MD

  • Family Medicine Physician
  • Castroville, TX
  • NPI 1306833173

  W-2 Managing Employee

  CMS ownership

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Cantex Home Health Austin LLC

  dba Theracare Home Health

  • Home Health Agency
  • Round Rock, TX
  • NPI 1245672310

  Bratex, Inc., Cantex Health Care Centers II LLC, Cantex Health Care Centers III LLC, Cantex Health Care Centers LLC, Concord Wood Investments, LTD, Gotex Investments (USA), Inc., LB Belon LLC, Medcare Management Holdings Inc, Ontex, Inc

  CMS ownership
• Cantex Home Health Fort Worth LLC

  dba TheraCare Home Health

  • Home Health Agency
  • San Antonio, TX
  • NPI 1356782536

  Bratex, Inc., Cantex Health Care Centers II LLC, Cantex Health Care Centers III LLC, Cantex Health Care Centers LLC, Concord Wood Investments, LTD, Gotex Investments (USA), Inc., LB Belon LLC, Medcare Management Holdings Inc, Ontex, Inc

  CMS ownership
• Cantex Home Health Houston LLC

  dba TheraCare Home Health

  • Home Health Agency
  • Stafford, TX
  • NPI 1962781443

  Bratex, Inc., Cantex Health Care Centers II LLC, Cantex Health Care Centers III LLC, Cantex Health Care Centers LLC, Concord Wood Investments, LTD, Gotex Investments (USA), Inc., Medcare Management Holdings Inc, Ontex, Inc

  CMS ownership
• Cantex Home Health Lewisville LLC

  dba TheraCare Home Health

  • Home Health Agency
  • Addison, TX
  • NPI 1689953168

  Bratex, Inc., Cantex Health Care Centers II LLC, Cantex Health Care Centers III LLC, Cantex Health Care Centers LLC, Concord Wood Investments, LTD, Gotex Investments (USA), Inc., Medcare Management Holdings Inc, Ontex, Inc

  CMS ownership
• Cantex Home Health North Houston LLC

  dba TheraCare Home Health

  • Home Health Agency
  • Conroe, TX
  • NPI 1619457579

  Bratex, Inc., Cantex Health Care Centers II LLC, Cantex Health Care Centers III LLC, Cantex Health Care Centers LLC, Concord Wood Investments, LTD, Gotex Investments (USA), Inc., LB Belon LLC, Medcare Management Holdings Inc, Ontex, Inc

  CMS ownership
• Cantex Home Health Tarrant County LLC

  dba TheraCare Home Health

  • Home Health Agency
  • Fort Worth, TX
  • NPI 1497235352

  Bratex, Inc., Cantex Health Care Centers II LLC, Cantex Health Care Centers III LLC, Cantex Health Care Centers LLC, Concord Wood Investments, LTD, Gotex Investments (USA), Inc., LB Belon LLC, Medcare Management Holdings Inc, Ontex, Inc

  CMS ownership
• Elysian Hospice Houston LLC

  dba Elysian Hospice

  • Community Based Hospice Care Agency
  • Stafford, TX
  • NPI 1881053643

  Bratex, Inc., Cantex Continuing Care Network LLC, Cantex Health Care Centers II LLC, Cantex Health Care Centers III LLC, Cantex Health Care Centers LLC, Concord Wood Investments, LTD, Elysian Hospice LLC, Gotex Investments (USA), Inc., LB Belon LL

  CMS ownership
• Elysian Hospice LLC

  • Community Based Hospice Care Agency
  • Addison, TX
  • NPI 1568633220

  Bratex, Inc., Cantex Continuing Care Network LLC, Cantex Health Care Centers II LLC, Cantex Health Care Centers III LLC, Cantex Health Care Centers LLC, Concord Wood Investments, LTD, Gotex Investments (USA), Inc., LB Belon LLC, Medcare Management

  CMS ownership

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Saint Michael Palliative Care Inc

  • Community Based Hospice Care Agency
  • Houston, TX
  • NPI 1023463247

  Acquired from, 2018-08-01

  CMS change of ownership

Affiliated clinicians 1

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

• Lloyd P Vanwinkle, MD

  • Family Medicine Physician
  • Castroville, TX
  • NPI 1306833173

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1851885172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 GOLDEN BEAR DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750062377",
            "telephone_number": "214-954-4114",
            "fax_number": "214-880-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8122 DATAPOINT DR STE 410B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293272",
            "telephone_number": "210-375-5016",
            "fax_number": "210-375-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSIAN HOSPICE SAN ANTONIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-20",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "UNDERHILL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "214-954-4114",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "017437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elysian Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyn Elsner Elsner, L.V.N.
• David Sidney Elswood, L.P.T.
• Hanna Eltarzy, DDS
• Ayled Elvira Carbajal
• Rachel E. Ely, ACNP
• Elysium Behavioral Health, PLLC
• Elyte Surgical LLC
• Christa Elza
• Florence Emade
• Marissa S Emadi, MD

• 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 Feb 7, 2020; 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.