Active NPI
Galveston Hospice Care LLC
- Community Based Hospice Care Agency
- Katy, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- GALVESTON HOSPICE CARE LLC
- Practice address
- 26717 Westheimer Pkwy Ste 303
Katy, TX 77494-8058 - Phone
- (346) 661-0358
- Fax
- (832) 307-1011
- NPI assigned
- Nov 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Cerisse Molato-Olila
- Title
- Administrator
- Phone
- (346) 661-0358
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
26717 Westheimer Pkwy Ste 303
Katy, TX 77494-8058
Mailing address
26717 Westheimer Pkwy Ste 303
Katy, TX 77494-8058
Phone (346) 661-0358
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220523001581 | TX | Part A Provider - Hospice | 0446637912 | Practice locations: Katy, TX |
Hospice certification: CCN A91516
- Legal name
- GALVESTON HOSPICE CARE LLC
- Doing business as
- CLOVERLEAF HOSPICE AND PALLIATIVE CARE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jun 29, 2022
- Last certification
- Jun 29, 2022
- Organization structure
- LLC
- Incorporated
- Nov 9, 2021 in TX
- Enrollment address
- 26717 Westheimer Pkwy BLDG 3 Suite 303
Katy, TX 77494-8058
Care Compare: Hospice
Medicare Care Compare- Listed as
- Cloverleaf Hospice and Palliative Care
- Certified
- Jun 29, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
15022 FM 529 Rd
Ste D
Houston, TX 77095
Phone (346) 400-6651
26717 Westheimer Pkwy
Ste 303
Katy, TX 77494
Phone (346) 661-0358
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Czarina Lagman | 5% Or Greater Direct Ownership Interest | Jul 30, 2024 | 50% |
| W-2 Managing Employee | Jul 30, 2024 | 50% | |
| Aaliya Amer | Contracted Managing Employee | Aug 1, 2024 | |
| Maria Cerisse Molato-Olila | 5% Or Greater Direct Ownership Interest | Jul 30, 2024 | 50% |
| W-2 Managing Employee | Jul 30, 2024 | 50% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Geriatric Medicine (Internal Medicine) Physician
- Katy, TX
- NPI 1518999093
Contracted Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Katy, TX
- NPI 1518999093
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724112000000",
"number": "1033876735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26717 WESTHEIMER PKWY STE 303",
"city": "KATY",
"state": "TX",
"postal_code": "774948058",
"telephone_number": "346-661-0358",
"fax_number": "832-307-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26717 WESTHEIMER PKWY STE 303",
"city": "KATY",
"state": "TX",
"postal_code": "774948058",
"telephone_number": "346-661-0358",
"fax_number": "832-307-1011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GALVESTON HOSPICE CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-17",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A",
"authorized_official_last_name": "MOLATO-OLILA",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "CERISSE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "346-661-0358"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.