NPIMap

Organization Active NPI

Harbor Hospice of North San Antonio, LP

Doing business as Beacon Hospice of North San Antonio

  • Community Based Hospice Care Agency
  • San Antonio, TX
National Provider Identifier
1922357045
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HARBOR HOSPICE OF NORTH SAN ANTONIO, LP
Doing business as
Beacon Hospice of North San Antonio
Practice address
15714 Huebner Rd BLDG 2B
San Antonio, TX 78248-0997
Phone
(210) 481-0500
Fax
(210) 481-0504
NPI assigned
Sep 5, 2012
Last updated
May 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2020

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

Authorized official

Name
Karen Carter
Title
Exec Admin Asst
Phone
(409) 730-2046

Specialties & licenses 1

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

Addresses

Primary practice location

15714 Huebner Rd BLDG 2B
San Antonio, TX 78248-0997

Mailing address

3406 College St
Suite 200
Beaumont, TX 77701-4612
Phone (409) 813-2332

Other names 1

  • BEACON HOSPICE OF NORTH SAN ANTONIO Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130110000024 TX Part A Provider - Hospice 0345493938 Practice locations: San Antonio, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922357045. Details of each certification follow.

Hospice certification: CCN 741555

Legal name
HARBOR HOSPICE OF NORTH SAN ANTONIO, LP
Doing business as
BEACON HOSPICE OF NORTH SAN ANTONIO
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 20, 2015
Last certification
Dec 16, 2021
Ownership / control type
Proprietary - Other
Organization structure
OtherProprietary
Incorporated
Sep 4, 2012 in TX
Enrollment address
15714 Huebner Rd
BLDG 2B
San Antonio, TX 78248-0997

Care Compare: Hospice

Medicare Care Compare
Listed as
Harbor Hospice of North San Antonio LPCCN 741555 · All quality measures
Ownership
For-Profit
Certified
Jan 20, 2015
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

15714 Huebner Rd
Bldg 2B
San Antonio, TX 78248
Phone (210) 481-0500

18838 Stone Oak Pkwy
Ste 204A
San Antonio, TX 78258

Ownership & related parties

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.

NameRoleSinceShare
Karen Carter Individual W-2 Managing Employee Feb 1, 2019
Bryan Gaspard Individual W-2 Managing EmployeeExecutive VP of Operations Sep 1, 2015
Arfeen Properties, L.P. Organization, Beaumont, TX 5% Or Greater Direct Ownership Interest Sep 4, 2012 99%
HHCS Managers LLC Organization, Beaumont, TX LLC General Partnership Interest Sep 4, 2012 1%
Qamar U Arfeen Individual 5% Or Greater Indirect Ownership InterestPartner Sep 4, 2012 50%
Kelley L Arfeen Individual 5% Or Greater Indirect Ownership InterestPartner Sep 4, 2012 50%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 45

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

View all 45

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1346803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1922357045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 COLLEGE ST",
            "address_2": "SUITE 200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014612",
            "telephone_number": "409-813-2332",
            "fax_number": "409-232-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15714 HUEBNER RD BLDG 2B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782480997",
            "telephone_number": "210-481-0500",
            "fax_number": "210-481-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HOSPICE OF NORTH SAN ANTONIO, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-05",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "EXEC ADMIN ASST",
        "authorized_official_telephone_number": "409-730-2046"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEACON HOSPICE OF NORTH SAN ANTONIO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.