Active NPI
Gifted Hearts Hospice LLC
Doing business as Gifted Hearts Hospice and Palliative Care
- Community Based Hospice Care Agency
- Seguin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Care
- Ownership
- For-Profit
- Certified
- Apr 30, 2020
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2180834 | Gifted Hearts Hospice, LLC | Certificate of waiver | Mar 19, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Cyril Owusu-Boakye | 5% Or Greater Direct Ownership Interest | Jan 11, 2019 | 100% |
| Operational/Managerial Control | Jan 11, 2019 | 10% | |
| Ana M Ramirez Cardosa | W-2 Managing Employee | Apr 1, 2019 | 90% |
| Operational/Managerial Control | 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.
-
- Internal Medicine Physician
- Corpus Christi, TX
- NPI 1851530455
5% Or Greater Direct Ownership Interest, Operational/Managerial Control
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.