Texas Coaction Consultants LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

TEXAS COACTION CONSULTANTS LLC

Doing business as

Tribute Hospice & Palliative Care

Practice address

4250 Ih 69 Access Rd
Suite 10 & 11
Corpus Christi, TX 78410-5123

Phone

(800) 418-1308

Fax

(361) 298-2040

NPI assigned

Jan 26, 2022

Organization subpart

No

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

Authorized official

Name

Tracy Hildreth

Title

Owner

Phone

(800) 418-1308

Specialties & licenses 1

Addresses

Other names 1

• Tribute Hospice & Palliative Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992457329. Details of each certification follow.

• CCN 971665 Hospice · Active · Details

Hospice certification: CCN 971665

Legal name

TEXAS COACTION CONSULTANTS LLC

Doing business as

TRIBUTE HOSPICE AND PALLATIVE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 29, 2021

Last certification

Jun 29, 2021

Ownership / control type

Proprietary - Partnership

Organization structure

LLCProprietary

Incorporated

Nov 29, 2021 in TX

Enrollment address

4250 Ih 69 Access Rd
Ste 10-11
Corpus Christi, TX 78410

Listed as

Tribute Hospice and Palliative CareCCN 971665 · All quality measures

Ownership

For-Profit

Certified

Jun 29, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Texas Coaction Consultants LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Texas Coaction Consultants LLC

  dba Foundations Hospice

  • Community Based Hospice Care Agency
  • Corpus Christi, TX
  • NPI 1811878838
  NPD tax ID

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.

Change-of-ownership history 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Texas Coaction Consultants LLC

  dba Foundations Hospice

  • Community Based Hospice Care Agency
  • Corpus Christi, TX
  • NPI 1811878838
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Kathleen Cooley, RN

  • Intellectual & Developmental Disabilities Psychologist
  • San Antonio, TX
  • NPI 1629428081
  NPD

Affiliated clinicians 2

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

• Michael Gerard Fuentes, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Corpus Christi, TX
  • NPI 1689721383

  Hospice

  Care Compare affiliation
• Victor Jesus Trevino, MD

  • Family Medicine Physician
  • Rockport, TX
  • NPI 1134440696

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1992457329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 THOREAU CIR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105803",
            "telephone_number": "361-563-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 IH 69 ACCESS RD",
            "address_2": "SUITE 10 & 11",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105123",
            "telephone_number": "800-418-1308",
            "fax_number": "361-298-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS COACTION CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-09-29",
        "certification_date": "2022-03-07",
        "status": "A",
        "authorized_official_last_name": "HILDRETH",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-418-1308"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tribute Hospice & Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tribute Hospice & Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Corpus Christi, TX by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.