FOUR SEASONS HOSPICE
NPI 1437607108
Hospice Care, Community Based in San Antonio, TX

Active since September 12, 2016CLIA 45D2097116 · Waiver
15420 NACOGDOCHES RD, SAN ANTONIO, TX 78247(210) 767-3870 Get Directions Write a Review

NPPES record last updated: April 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 6, 2020, May 1, 2019, Sep 5, 2018 and 2 more (5 updates tracked since 2016).

About Four Seasons Hospice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOUR SEASONS HOSPICE (NPI 1437607108) is a healthcare organization registered as a hospice care, community based in San Antonio, Texas and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through June 8, 2027 and lists Mona Talukdar, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1437607108
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameSHEPHERD LIVING HOSPICE LLC
Location Address15420 NACOGDOCHES RDSan Antonio, TX 78247
Mailing Address15420 Nacogdoches RdSan Antonio, TX 78247-1106 · (210) 767-3870
Organization SubpartYesParent: Shepherd Living Hospice
Authorized OfficialMona TalukdarCeo/owner · (210) 767-3870
Enumeration DateSeptember 12, 2016
Last NPPES UpdateApril 6, 20205 updates tracked since enumeration
NPPES CertifiedApril 6, 2020
NPI 1437607108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
License Licensed in TX · 016725
15420 NACOGDOCHES RD, San Antonio, TX 78247

Other Names 1

Doing Business AsFour Seasons Hospice

Other Identifiers 2

Medicaid001029813TX
Other016725TX · State License

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2097116

Four Seasons Hospice · San Antonio, TX
Active · expires Jun 8, 2027
CLIA Number45D2097116
Laboratory TypeHospice
Certificate Effective DateJune 9, 2025
Certificate Expiration DateJune 8, 2027
Laboratory DirectorColacino Geoff
Laboratory Phone(210) 767-3870
Laboratory LocationFour Seasons Hospice15420 Nacogdoches Road, San Antonio, TX 78247
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Hospice Care Quality CMS Care Compare 2

Quality measures, care settings and the Hospice Care Index for the 2 hospice facilities associated with this NPI, from CMS Care Compare.

Four Seasons Healthcare Of Texas

Hospice · San Antonio, TX
Facility 1 of 2
OwnershipFor-Profit
CMS Certification Number741631
CMS RegionRegion 6
Medicare-Certified SinceAugust 13, 2016
Average Daily Census138patients per day on average
Location15420 Nacogdoches RdSan Antonio, TX 78247 · Bexar County
Routine home care and other levels of care Serves Medicare Advantage patients Serves dual-eligible patients

Care Settings & Patients

Where care was provided, as a share of care days
Home70%
Assisted living facility21%
Nursing facility7%
Skilled nursing facility0%
Inpatient hospice facility0%
Inpatient hospital0%
Other locations2%
Patients with cancer
11%
Patients with dementia
40%
Patients with circulatory or heart disease
17%
Patients with respiratory disease
6%
Patients with stroke
4%
Patients with other conditions
0%
Profile statistics are from the 2020 CMS reporting year. Zero values reflect that year and may differ in more recent years.

Quality Measures

Hospice and Palliative Care Treatment Preferences
487 patient stays
100%
Beliefs & Values Addressed (if desired by the patient)
487 patient stays
100%
Hospice and Palliative Care Pain Screening
487 patient stays
92%
Hospice and Palliative Care Pain Assessment
298 patient stays
39.3%
Hospice and Palliative Care Dyspnea Screening
487 patient stays
99%
Hospice and Palliative Care Dyspnea Treatment
456 patient stays
100%
Patient Treated with an Opioid Who Are Given a Bowel Regimen
424 patient stays
99.5%
Hospice and Palliative Care Composite Process Measure
487 patient stays
54.6%
Hospice Visits in the Last Days of Life
369 patient stays
44.2%
Measures are reported under the CMS Hospice Quality Reporting Program. Reporting periods vary by measure (2022 to 2023). Measures without current CMS data are not shown.
10/10
Hospice Care IndexTen claims-based indicators of care processes · CMS Care Compare
CHC/GIP provided
National percentile 80
0.4%
Gaps in nursing visits
National percentile 76
72.2%
Early live discharges
National percentile 32
3.6%
Late live discharges
National percentile 74
48.6%
Burdensome transitions, Type 1
National percentile 87
16.3%
Burdensome transitions, Type 2
National percentile 54
1.4%
Per-beneficiary spending
National percentile 57
$17,906
Nurse care minutes per routine home care days
National percentile 18
9.3 minutes
Skilled nursing minutes on weekends
National percentile 44
7.5%
Visits near death
National percentile 71
95.9%
Percentiles compare this hospice with all hospices nationally, as published by CMS.

Blue Horizons Hospice Of Laredo

Hospice · San Antonio, TX
Facility 2 of 2
OwnershipFor-Profit
CMS Certification Number971792
CMS RegionRegion 6
Medicare-Certified SinceAugust 5, 2021
Location15418 Nacogdoches RdSan Antonio, TX 78247 · Bexar County

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
15420 NACOGDOCHES RD
SAN ANTONIO, TX 78247
Internal Medicine
15420 NACOGDOCHES RD
SAN ANTONIO, TX 78247
Nurse Practitioner (Psychiatric/Mental Health)
15420 NACOGDOCHES RD
SAN ANTONIO, TX 78247
Nurse Practitioner
15420 NACOGDOCHES RD
SAN ANTONIO, TX 78247
Nurse Practitioner (Family)
15420 NACOGDOCHES RD
SAN ANTONIO, TX 78247
Registered Nurse (Hospice)
15420 NACOGDOCHES RD
SAN ANTONIO, TX 78247
Nurse Practitioner (Family)
15420 NACOGDOCHES RD
SAN ANTONIO, TX 78247
Home Health
15420 NACOGDOCHES RD
SAN ANTONIO, TX 78247

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shepherd Living Hospice LLC's NPI number?

The NPI number for Shepherd Living Hospice LLC is 1437607108. It was assigned to this organization in the NPPES registry on September 12, 2016. The provider is doing business as Four Seasons Hospice.

Where is Shepherd Living Hospice LLC located?

Shepherd Living Hospice LLC is located at 15420 Nacogdoches Rd, San Antonio, TX 78247. The listed phone number is (210) 767-3870.

What is Shepherd Living Hospice LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Shepherd Living Hospice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2097116) is associated with this NPI, valid through June 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Shepherd Living Hospice LLC a Medicare-certified hospice?

Yes. 2 Medicare-certified hospice facilities are associated with this NPI. Details for each are in the Hospice Care Quality section above.

What insurance does Shepherd Living Hospice LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Shepherd Living Hospice LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shepherd Living Hospice LLC was last updated on April 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.