Active NPI
Triangle Care Hospice LP
- Community Based Hospice Care Agency
- Beaumont, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- TRIANGLE CARE HOSPICE LP
- Practice address
- 85 Ih 10 N
Suite 208
Beaumont, TX 77707 - Phone
- (409) 842-1112
- Fax
- (409) 840-4104
- NPI assigned
- Jan 21, 2010
- 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
- Martha Licatino
- Title
- Administrator
- Phone
- (409) 842-1112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
85 Ih 10 N
Suite 208
Beaumont, TX 77707
Mailing address
85 Ih 10 N
Suite 208
Beaumont, TX 77707
Phone (409) 842-1112
Other names 1
- Riceland 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 |
|---|---|---|---|---|
| O20101119000109 | TX | Part A Provider - Hospice | 6204022049 | Practice locations: Beaumont, TX |
Hospice certification: CCN 671715
- Legal name
- TRIANGLE CARE HOSPICE LP
- Doing business as
- RICELAND HOSPICE LP
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Feb 11, 2012
- Last certification
- Apr 28, 2022
- Ownership / control type
- Proprietary - Partnership
- Organization structure
- Other
- Enrollment address
- 85 Interstate 10 N
Ste 208a
Beaumont, TX 77707-2539
Care Compare: Hospice
Medicare Care Compare- Listed as
- Riceland Hospice LP
- Ownership
- For-Profit
- Certified
- Feb 11, 2012
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Riceland Hospice
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Beaumont, TX
- NPI 1083161962
Locations
1400W Cardinal Dr
Beaumont, TX 77705
Phone (409) 842-1112
1420 W Cardinal Dr
Beaumont, TX 77705
Phone (409) 842-1112
85 Interstate 10 N
Ste 208A
Beaumont, TX 77707
Phone (409) 842-1112
Ownership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Saad T Javed | Operational/Managerial Control | Jun 5, 2023 | |
| Martha Licatino | Operational/Managerial Control | Mar 20, 2023 | |
| Kindhearted GP LLC Partner | 5% Or Greater Direct Ownership Interest | Sep 24, 2010 | |
| General Partnership Interest | Sep 24, 2010 | ||
| Muhammad Javed | 5% Or Greater Direct Ownership Interest | Sep 24, 2010 | |
| Mohammed Danishmund | Operational/Managerial Control | Jun 5, 2023 |
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": "1264032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721779200000",
"number": "1003147679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 IH 10 N",
"address_2": "SUITE 208",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "77707",
"telephone_number": "409-842-1112",
"fax_number": "409-840-4104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 IH 10 N",
"address_2": "SUITE 208",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "77707",
"telephone_number": "409-842-1112",
"fax_number": "409-840-4104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRIANGLE CARE HOSPICE LP",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-21",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A",
"authorized_official_last_name": "LICATINO",
"authorized_official_first_name": "MARTHA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "409-842-1112"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Riceland Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Beaumont, TX
- Desire T. Trevino
- Tri-Medical Emergency Medical Services LP
- Tri-Met Medical Services, PA
- Triangle Area Network Inc
- Triangle Care Hospice Dba Riceland Hospice
- Triangle Hospital Care Group
- Triangle Medical Supply, LLC
- Triangle Pharmacy Solutions LLC
- John Arthur Trinh, M.D.
- Trinity Healthcare of Southeast Texas Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.