Pax Et Vita Hospice Agency LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PAX ET VITA HOSPICE AGENCY LLC

Practice address

830 Julie Rivers Dr Ste 602
Sugar Land, TX 77478-2878

Phone

(346) 901-0194

Fax

(281) 239-0543

NPI assigned

Dec 3, 2018

Organization subpart

No

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

Authorized official

Name

Carlito Buhay

Title

Administrator/Owner

Phone

(281) 687-2793

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 971576

Legal name

PAX ET VITA HOSPICE AGENCY LLC

Doing business as

PAX ET VITA HOSPICE AGENCY LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 10, 2020

Last certification

Jul 10, 2020

Ownership / control type

Other

Organization structure

LLCProprietary

Enrollment address

830 Julie Rivers Dr
Ste 602
Sugar Land, TX 77478-2878

Listed as

Pax Et Vita Hospice Agency, LLCCCN 971576

Ownership

For-Profit

Certified

Jul 10, 2020

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 3

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

Affiliated clinicians 1

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

• Nasiya N Ahmed, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Houston, TX
  • NPI 1609080373

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1043780075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 JULIE RIVERS DR STE 602",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774782878",
            "telephone_number": "346-901-0194",
            "fax_number": "281-239-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 JULIE RIVERS DR STE 602",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774782878",
            "telephone_number": "346-901-0194",
            "fax_number": "281-239-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAX ET VITA HOSPICE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "BUHAY",
        "authorized_official_first_name": "CARLITO",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "281-687-2793"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denice Malicdem Paule, APRN
• Paved Healthcare PLLC
• Thomas Pavlik
• Jessie Rae Pawelek, NP-C
• Pax Et Vita Home Care LLC
• Brittany Payne, BCBA, LBA
• Kashara Payne
• PDG-59, PLLC
• Peaceful Restoration Home Care LLC
• Kenya Pearce, CNIM

• Community Based Hospice Care Agency in Sugar Land, TX
• Providers in Sugar Land, 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 Jul 29, 2022; 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.