Organization Active NPI

Triangle Care Hospice LP

  • Community Based Hospice Care Agency
  • Beaumont, TX
National Provider Identifier
1003147679
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Jul 24, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
OtherProprietary
Enrollment address
85 Interstate 10 N
Ste 208a
Beaumont, TX 77707-2539

Care Compare: Hospice

Medicare Care Compare
Listed as
Riceland Hospice LPCCN 671715
Ownership
For-Profit
Certified
Feb 11, 2012
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Riceland Hospice2 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.

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.

NameRoleSinceShare
Saad T Javed Individual Operational/Managerial ControlCoo and 100% of Managerial/ Oper Jun 5, 2023
Martha Licatino Individual Operational/Managerial Control100% Of Daily Managerial Control Mar 20, 2023
Kindhearted GP LLC Partner Organization, Beaumont, TX 5% Or Greater Direct Ownership Interest Sep 24, 2010
General Partnership Interest Sep 24, 2010
Muhammad Javed Individual 5% Or Greater Direct Ownership Interest Sep 24, 2010
Mohammed Danishmund Individual Operational/Managerial ControlCfo and 100% of Daily Managerial 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

Sources for this page

Verify at the official NPI Registry.