Hexagon Alliance LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HEXAGON ALLIANCE LLC

Doing business as

BLUE HORIZONS HOSPICE OF SOUTH S A

Practice address

8 Dominion Dr Unit 105
San Antonio, TX 78257-1315

Phone

(210) 729-6222

NPI assigned

Nov 13, 2018

Organization subpart

No

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

Authorized official

Name

Babatope Fatuyi, MD

Title

Owner

Phone

(609) 350-4305

Specialties & licenses 1

Addresses

Other names 1

• BLUE HORIZONS HOSPICE OF SOUTH S A Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 971538

Legal name

HEXAGON ALLIANCE LLC

Doing business as

AASTA HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 14, 2019

Last certification

Nov 14, 2019

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Incorporated

Feb 2, 2015 in TX

Enrollment address

1945 Lockhill Selma Rd
Ste 204
San Antonio, TX 78213-1554

Listed as

Aasta HospiceCCN 971538 · All quality measures

Ownership

For-Profit

Certified

Nov 14, 2019

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 4

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.

• Justo Cisneros, MD

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

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Jesus Gerardo Garcia-Gallegos, MD

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1427252089

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1952870529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 DOMINION DR UNIT 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571315",
            "telephone_number": "210-729-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 DOMINION DR UNIT 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571315",
            "telephone_number": "210-729-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEXAGON ALLIANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "FATUYI",
        "authorized_official_first_name": "BABATOPE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-350-4305",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLUE HORIZONS HOSPICE OF SOUTH S A",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Maria Hetz, MD
• Lisa Hewitson, PHARMD
• Elizabeth Mary Hewitt, FNP-C
• Emily Hewitt
• Michael Hewitt, RN
• Hey Gorgeous Spa and Wellness, LLC
• Taylor Mari Heyburn
• Sahar Heydari, PA
• Ali-Reza Heydary, DDS
• Scott Stephen Heying, DDS,MS

• 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 Nov 13, 2018; 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.