Active NPI
St. Johns Hospice LLC
- Community Based Hospice Care Agency
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ST. JOHNS HOSPICE LLC
- Doing business as
- Canyon Home Care & Hospice
- Practice address
- 4414 Centerview Ste 208
San Antonio, TX 78228-1432 - Phone
- (210) 718-0551
- Fax
- (210) 718-0554
- NPI assigned
- Jul 5, 2019
- 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
- Breezie Jean Liskey
- Title
- VP of Operations
- Phone
- (801) 485-6166
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
4414 Centerview Ste 208
San Antonio, TX 78228-1432
Mailing address
4414 Centerview Ste 208
San Antonio, TX 78228-1432
Phone (210) 718-0551
Other names 1
- Canyon Home Care & Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191118002144 | TX | Part A Provider - Hospice | 4183056831 | Practice locations: San Antonio, TX |
Hospice certification: CCN 971672
- Legal name
- ST. JOHNS HOSPICE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- May 14, 2021
- Last certification
- May 14, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Feb 26, 2018 in TX
- Enrollment address
- 4414 Centerview
Ste 208
San Antonio, TX 78228-1432
Care Compare: Hospice
Medicare Care Compare- Listed as
- Canyon Home Care & Hospice
- Ownership
- For-Profit
- Certified
- May 14, 2021
- 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 |
|---|---|---|---|
| 45D2177498 | St Johns Hospice LLC | Certificate of waiver | Jan 12, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
2665 Villa Creek Dr
Ste 206J
Farmers Branch, TX 75234
4414 Centerview
Ste 208
San Antonio, TX 78228
Phone (210) 718-0551
Ownership & related parties
All disclosed owners & managing parties 9
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 |
|---|---|---|---|
| Linda Trinidad | W-2 Managing Employee | Jul 22, 2024 | |
| Sabrina Hogan | 5% Or Greater Indirect Ownership Interest | Jun 21, 2021 | 75% |
| Corporate Officer | Jun 3, 2021 | ||
| Soledad Carrillo | W-2 Managing Employee | Oct 28, 2024 | |
| Jimmie M Stapleton | 5% Or Greater Indirect Ownership Interest | Jun 3, 2021 | 25% |
| Corporate Officer | Jun 3, 2021 | ||
| Ronald Hogan | 5% Or Greater Indirect Ownership Interest | Jun 21, 2021 | 75% |
| Corporate Officer | Jun 3, 2021 | ||
| Inspired Hospice Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Jan 19, 2022 | 100% |
| Christine a Contreras | Contracted Managing Employee | Oct 1, 2023 | |
| Inspired Hospice Holdings of TX, LLC | 5% Or Greater Direct Ownership Interest | Jan 19, 2022 | 100% |
| RHSH, LLC | 5% Or Greater Indirect Ownership Interest | Jan 19, 2022 | 75% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- General Practice Physician
- San Antonio, TX
- NPI 1619133238
Contracted Managing Employee
Facilities with the same owner 1
Facilities that share an organizational owner with 5% or greater ownership or operational 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": "1562284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773360000000",
"number": "1982266300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4414 CENTERVIEW STE 208",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782281432",
"telephone_number": "210-718-0551",
"fax_number": "210-718-0554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4414 CENTERVIEW STE 208",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782281432",
"telephone_number": "210-718-0551",
"fax_number": "210-718-0554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. JOHNS HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-05",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A",
"authorized_official_last_name": "LISKEY",
"authorized_official_first_name": "BREEZIE",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "801-485-6166"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Canyon Home Care & Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.