NPIMap

Organization Active NPI

St. Joseph Hospice of Houston LLC

  • Community Based Hospice Care Agency
  • Conroe, TX
National Provider Identifier
1013311992
Registry record updated Aug 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ST. JOSEPH HOSPICE OF HOUSTON LLC
Practice address
2255 N Loop 336 W Ste a
Conroe, TX 77304-3632
Phone
(936) 703-5250
NPI assigned
Oct 21, 2014
Last updated
Aug 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2019

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

Authorized official

Name
Patrick Mitchell
Title
Managing Member
Phone
(225) 368-3181

Specialties & licenses 1

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

Addresses

Primary practice location

2255 N Loop 336 W Ste a
Conroe, TX 77304-3632

Mailing address

10615 Jefferson Hwy
Baton Rouge, LA 70809-7230
Phone (225) 368-3181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150227001713 TX Part A Provider - Hospice 8325364854 Practice locations: Conroe, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013311992. Details of each certification follow.

Hospice certification: CCN 671765

Legal name
ST. JOSEPH HOSPICE OF HOUSTON LLC
Doing business as
ST. JOSEPH HOSPICE OF CONROE TEXAS
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 20, 2013
Last certification
Jul 12, 2019
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Enrollment address
2255 N Loop 336 W
Suite a
Conroe, TX 77304-3631

Care Compare: Hospice

Medicare Care Compare
Listed as
St Joseph Hospice of Conroe TexasCCN 671765 · All quality measures
Ownership
For-Profit
Certified
Jun 20, 2013
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2035800St Joseph Hospice of Houston LLC2255 N Loop 336 W Ste a, Conroe, TX 77304Certificate of waiverMar 11, 2027

National Provider Directory

National Provider Directory

Locations

4710 Bellaire Blvd
Ste 390B
Bellaire, TX 77401
Phone (713) 566-6759

1525 Lakeville Dr
Ste 120
Kingwood, TX 77339
Phone (281) 348-0821

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Maryann R Nys Individual W-2 Managing EmployeeAd; Mar 26, 2018
Patrick Thomas Mitchell Individual Operational/Managerial ControlManager Oct 21, 2014
Other May 1, 2019 1%
PCM Hospice Enterprises LLC Organization, Baton Rouge, LA Created for acquisition, LLC 5% Or Greater Direct Ownership Interest May 1, 2019 100%
Kelly Mitchell Individual OtherCo-Managing Trustee Dec 31, 2022
PCM Intermediate Holdings LLC Organization, Baton Rouge, LA LLC, Holding company 5% Or Greater Indirect Ownership Interest Jul 18, 2025 100%
PTM 2018 Family Trust Organization, Baton Rouge, LA Created for acquisition 5% Or Greater Indirect Ownership Interest Dec 31, 2022 99%
Emily Holleman Individual OtherCo-Managing Trustee Dec 31, 2022
PCM Holdings I, Inc. Organization, Baton Rouge, LA Corporation, Holding company 5% Or Greater Indirect Ownership Interest Jul 18, 2025 100%
Nabeel a Khan Individual Contracted Managing EmployeeMD; Mar 28, 2016

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 35

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 35

Practitioners & affiliated clinicians

Affiliated clinicians 9

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": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1013311992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708097230",
            "telephone_number": "225-368-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 N LOOP 336 W STE A",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043632",
            "telephone_number": "936-703-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. JOSEPH HOSPICE OF HOUSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "225-368-3181"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.