Fountain of Hope Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FOUNTAIN OF HOPE HOSPICE LLC

Practice address

20507 Hidden Point LN
Richmond, TX 77407-7865

Phone

(346) 414-7186

NPI assigned

Jun 17, 2020

Organization subpart

No

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

Authorized official

Name

Ayesha Syeda, RNNPI 1598222416

Title

Administrator/Owner Partner

Phone

(346) 414-7186

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN A91536

Legal name

FOUNTAIN OF HOPE HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 21, 2022

Last certification

Nov 15, 2022

Organization structure

LLCProprietary

Incorporated

Jun 8, 2020 in TX

Enrollment address

20507 Hidden Point LN
Richmond, TX 77407-7865

Listed as

Fountain of Hope Hospice, LLCCCN A91536

Certified

Nov 21, 2022

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

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.

• Romeo Jean Joseph, M.D.

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1902249576

  Contracted Managing Employee

  CMS ownership

Practitioners 1

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

• Ayesha Syeda, REGISTERED NURSE

  • Registered Nurse
  • Richmond, TX
  • NPI 1598222416
  NPD Authorized official

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Romeo Jean Joseph, M.D.

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1902249576

  Hospice

  Care Compare affiliation
• Tristan Montrale Washington, M.D.

  • Family Medicine Physician
  • Houston, TX
  • NPI 1790196616

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1592352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1013533884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20507 HIDDEN POINT LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774077865",
            "telephone_number": "281-866-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20507 HIDDEN POINT LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774077865",
            "telephone_number": "346-414-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN OF HOPE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-17",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "SYEDA",
        "authorized_official_first_name": "AYESHA",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER PARTNER",
        "authorized_official_telephone_number": "346-414-7186",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Richmond, TX
• Providers in Richmond, 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 May 23, 2023; 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.