Jomel Palliative and Hospice Care, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

JOMEL PALLIATIVE AND HOSPICE CARE, INC.

Practice address

4002 Highland Vale CT
Fresno, TX 77545-7022

Phone

(713) 550-3626

NPI assigned

Feb 23, 2021

Organization subpart

No

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

Authorized official

Name

Carolyn Mickens

Title

Owner

Phone

(713) 550-3626

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 971755

Legal name

JOMEL PALLIATIVE AND HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 2, 2021

Last certification

Dec 2, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Feb 23, 2021 in TX

Enrollment address

7070 Knights CT
Ste 1601
Missouri City, TX 77459-5551

Listed as

Jomel Palliative and Hospice Care, Inc.CCN 971755

Ownership

For-Profit

Certified

Dec 2, 2021

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 3

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

Owners & managing parties with NPI records 1

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

• Hameed Q Ali, D. O.

  • Internal Medicine Physician
  • Temple, TX
  • NPI 1104974955

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1013501758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 HIGHLAND VALE CT",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775457022",
            "telephone_number": "713-550-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 HIGHLAND VALE CT",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775457022",
            "telephone_number": "713-550-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOMEL PALLIATIVE AND HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "MICKENS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-550-3626"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jadazch Home Health Services
• Japinia Moore
• Ericka Monique Jefferson
• Brandye Johnson-Batiste, M.ED., M.S., CCC-SLP
• Shayla Johnson
• Marshall Jones Kelly
• Willie Ditu Kayembe, N/A
• Savannah Hope Keel, LPC
• Janice Kelly, CNA
• Octavia Latrice Kennard

• Community Based Hospice Care Agency in Fresno, TX
• Providers in Fresno, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.

Verify at the official NPI Registry.