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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TRILATERAL CONSULTING LLC
NPI 1659921468
Technician - Personal Care Attendant in San Antonio, TX

Active since September 13, 2019
4730 COLLEGE PARK, SAN ANTONIO, TX 78249(210) 890-2700(210) 890-2727 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 12, 2026, Aug 26, 2026, Jan 20, 2026 and 3 more (6 updates tracked since 2019).

About Trilateral Consulting Llc NPPES

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

TRILATERAL CONSULTING LLC (NPI 1659921468), doing business as Circle Of Life Hospice And Palliative Care, is a healthcare organization registered as a personal care attendant in San Antonio, Texas and active in the NPI registry since September 2019. The organization lists Tobi Aguigui, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1659921468
Entity TypeOrganization
Primary Taxonomy3747P1801X
Legal Business NameTRILATERAL CONSULTING LLC
Location Address4730 COLLEGE PARKSan Antonio, TX 78249-4008
Mailing Address4730 College ParkSan Antonio, TX 78249-4008 · (210) 890-2700 · Fax (210) 890-2727
Phone(210) 890-2700
Fax(210) 890-2727
Organization SubpartNo
Authorized OfficialTobi AguiguiAuthorized Official · (210) 890-2700
Enumeration DateSeptember 13, 2019
Last NPPES UpdateOctober 12, 20266 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1659921468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Also ListedHospice Care, Community BasedTaxonomy 251G00000X
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
4730 COLLEGE PARK, San Antonio, TX 78249
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Other Names 1

Doing Business AsCircle Of Life Hospice And Palliative Care

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Trilateral Consulting Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20201008003552Part A · HospiceDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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 45D2195116

Trilateral Consulting LLC Dba Circle Of Life Hospice And Palliative Care · San Antonio, TX
Expired · Oct 5, 2026
CLIA Number45D2195116
Laboratory TypeHospice
Certificate Effective DateOctober 6, 2024
Certificate Expiration DateOctober 5, 2026
Laboratory DirectorScott Lamb
Laboratory Phone(210) 890-2700
Laboratory LocationTrilateral Consulting LLC Dba Circle Of Life Hospice And Palliative Care4730 College Park, San Antonio, TX 78249
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

Quality measures, care settings and the Hospice Care Index for Circle Of Life Hospice And Palliative Care (CMS certification number 971663), from CMS Care Compare.

Circle Of Life Hospice And Palliative Care

Hospice · San Antonio, TX
OwnershipFor-Profit
CMS Certification Number971663
CMS RegionRegion 6
Medicare-Certified SinceJune 18, 2021
Location12042 Blanco Road Ste 303San Antonio, TX 78216 · Bexar County
Phone(210) 890-2700

Quality Measures

Hospice and Palliative Care Treatment Preferences
110 patient stays
100%
Beliefs & Values Addressed (if desired by the patient)
110 patient stays
100%
Hospice and Palliative Care Pain Screening
110 patient stays
100%
Hospice and Palliative Care Pain Assessment
33 patient stays
97%
Hospice and Palliative Care Dyspnea Screening
110 patient stays
100%
Hospice and Palliative Care Dyspnea Treatment
62 patient stays
100%
Hospice and Palliative Care Composite Process Measure
110 patient stays
95.5%
Hospice Visits in the Last Days of Life
45 patient stays
44.4%
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.
7/10
Hospice Care IndexTen claims-based indicators of care processes · CMS Care Compare
CHC/GIP provided
National percentile 51
0%
Gaps in nursing visits
National percentile 92
85.9%
Early live discharges
National percentile 37
4.3%
Late live discharges
National percentile 22
29%
Burdensome transitions, Type 1
National percentile 90
17.4%
Burdensome transitions, Type 2
National percentile 54
1.4%
Per-beneficiary spending
National percentile 81
$23,170
Nurse care minutes per routine home care days
National percentile 10
8.2 minutes
Skilled nursing minutes on weekends
National percentile 46
7.6%
Visits near death
National percentile 39
91.4%
Percentiles compare this hospice with all hospices nationally, as published by CMS.

Other Providers at the Same Location NPPES 3

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

FACT CONSULTING OF SA, LLC
Clinic/Center (Multi-Specialty)
4730 COLLEGE PARK
SAN ANTONIO, TX 78249
Bexar County (210) 687-4037
A&B MANAGEMENT, LLC DBA A&B HEALTHCARE CONSULTING
Local Education Agency (LEA)
4730 COLLEGE PARK
SAN ANTONIO, TX 78249
Bexar County (210) 687-4037
TRILATERAL CONSULTING LLC
Hospice Care, Community Based
4730 COLLEGE PARK
SAN ANTONIO, TX 78249
Bexar County (210) 890-2700

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 Trilateral Consulting LLC's NPI number?

The NPI number for Trilateral Consulting LLC is 1659921468. It was assigned to this organization in the NPPES registry on September 13, 2019. The provider is doing business as Circle of Life Hospice and Palliative Care.

Where is Trilateral Consulting LLC located?

Trilateral Consulting LLC is located at 4730 College Park, San Antonio, TX 78249. The listed phone number is (210) 890-2700.

What is Trilateral Consulting LLC's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

Is Trilateral Consulting LLC enrolled in Medicare?

Yes. Trilateral Consulting LLC is registered in the Medicare PECOS enrollment system.

When is Trilateral Consulting LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Texas, Hospice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Is Trilateral Consulting LLC a Medicare-certified hospice?

Yes. Circle Of Life Hospice And Palliative Care is a Medicare-certified hospice (CMS certification number 971663), certified since June 18, 2021.

When was this NPI record last updated?

The NPPES record for Trilateral Consulting LLC was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.