Organization Active NPI

Adom Hospice Company, LLC

  • Community Based Hospice Care Agency
  • Houston, TX
National Provider Identifier
1003530031
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ADOM HOSPICE COMPANY, LLC
Doing business as
Adom Hospice Company, LLC
Practice address
16903 Red Oak Dr Ste 208
Houston, TX 77090-3991
Phone
(713) 969-7789
NPI assigned
Oct 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Authorized official

Name
Mr. Joseph Okyere, RN CNPNPI 1629699814
Title
Owner/Nurse
Phone
(832) 875-6054

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

16903 Red Oak Dr Ste 208
Houston, TX 77090-3991

Mailing address

10800 Gosling Rd
Spring, TX 77393-4001
Phone (713) 969-7789

Other identifiers 1

IdentifierTypeStateIssuer
021432OtherTXLICENSES

Other names 1

  • Adom Hospice Company, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Info@adomhospice.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230503000942 TX Part A Provider - Hospice 3173988797 Practice locations: Houston, TX

Hospice certification: CCN A91709

Legal name
ADOM HOSPICE COMPANY LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 18, 2024
Last certification
Mar 27, 2024
Organization structure
LLCProprietary
Incorporated
Aug 31, 2021 in TX
Enrollment address
16903 Red Oak Dr
Ste 208
Houston, TX 77090-3991

Care Compare: Hospice

Medicare Care Compare
Listed as
Adom Hospice Company, LLCCCN A91709 ยท All quality measures
Certified
Apr 18, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

16903 Red Oak Dr
Ste B
Houston, TX 77090

16903 Red Oak Dr
Ste 208
Houston, TX 77090
Phone (281) 836-5436

Interoperability endpoints

  • Direct secure messaging: info@adomhospice.com

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joseph Okyere Individual 5% Or Greater Direct Ownership Interest Aug 31, 2021 100%
W-2 Managing Employee Aug 31, 2021 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1003530031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 GOSLING RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773934001",
            "telephone_number": "713-969-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16903 RED OAK DR STE 208",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903991",
            "telephone_number": "713-969-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADOM HOSPICE COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "OKYERE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER/NURSE",
        "authorized_official_telephone_number": "832-875-6054",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN CNP"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSES",
            "identifier": "021432",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@adomhospice.com",
            "affiliation": "N",
            "endpointDescription": "Hospice Care",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16903 Red Oak Dr Ste 208",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770903991",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Adom Hospice Company, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Adom Hospice Company, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.