Organization Active NPI

Gifted Hearts Hospice LLC

Doing business as Gifted Hearts Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Seguin, TX
National Provider Identifier
1861957912
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GIFTED HEARTS HOSPICE LLC
Doing business as
Gifted Hearts Hospice and Palliative Care
Practice address
108 E Court St
Seguin, TX 78155-5704
Phone
(830) 715-9299
Fax
(830) 715-9302
NPI assigned
Feb 3, 2019
Last updated
Sep 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Authorized official

Name
Dr. Cyril Owusu-Boakye, MD
Title
President
Phone
(361) 876-2750

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0002X
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

108 E Court St
Seguin, TX 78155-5704

Mailing address

108 E Court St
Seguin, TX 78155-5704
Phone (830) 715-9299

Other names 1

  • Gifted Hearts Hospice and Palliative Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190909002699 TX Part A Provider - Hospice 9133458623 Practice locations: Seguin, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861957912. Details of each certification follow.

Hospice certification: CCN 971562

Legal name
GIFTED HEARTS HOSPICE LLC
Doing business as
GIFTED HEARTS HOSPICE AND PALLIATIVE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 30, 2020
Last certification
Apr 30, 2020
Ownership / control type
Proprietary - Individual
Organization structure
LLCProprietary
Incorporated
Jan 11, 2019 in TX
Enrollment address
108 E Court St
Seguin, TX 78155-5704

Care Compare: Hospice

Medicare Care Compare
Listed as
Gifted Hearts Hospice and Palliative CareCCN 971562 · All quality measures
Ownership
For-Profit
Certified
Apr 30, 2020
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
45D2180834Gifted Hearts Hospice, LLC108 E Court Street, Seguin, TX 78155Certificate of waiverMar 19, 2028

National Provider Directory

National Provider Directory

Locations

1418 N Austin St
Ste 12
Seguin, TX 78155
Phone (830) 715-9299

108 E Court St
Seguin, TX 78155
Phone (830) 715-9299

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Cyril Owusu-Boakye Individual 5% Or Greater Direct Ownership InterestOwner Jan 11, 2019 100%
Operational/Managerial ControlMedical Director Jan 11, 2019 10%
Ana M Ramirez Cardosa Individual W-2 Managing EmployeeAdministrator Apr 1, 2019 90%
Operational/Managerial ControlAdministrator Apr 1, 2019 90%

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": "1549152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1861957912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E COURT ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555704",
            "telephone_number": "830-715-9299",
            "fax_number": "830-715-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E COURT ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555704",
            "telephone_number": "830-715-9299",
            "fax_number": "830-715-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIFTED HEARTS HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-03",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "OWUSU-BOAKYE",
        "authorized_official_first_name": "CYRIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-876-2750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gifted Hearts Hospice and Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seguin, TX

Sources for this page

Verify at the official NPI Registry.