Eagles Nest Palliative Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

EAGLES NEST PALLIATIVE HOSPICE LLC

Practice address

6776 Southwest Fwy Ste 631
Houston, TX 77074-2107

Phone

(713) 875-8773

NPI assigned

Apr 17, 2023

Organization subpart

No

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

Authorized official

Name

Ngozi Ezeibe

Title

Ceo

Phone

(713) 875-8773

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN A91782

Legal name

EAGLES NEST PALLIATIVE HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 6, 2025

Last certification

Feb 14, 2025

Organization structure

LLCProprietary

Incorporated

Apr 2, 2023 in TX

Enrollment address

6776 Southwest Fwy
Ste 631
Houston, TX 77074-2107

Listed as

Eagles Nest Palliative Hospice LLCCCN A91782

Certified

Mar 6, 2025

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.

• Karen X Thampoe, M.D.

  • Internal Medicine Physician
  • Katy, TX
  • NPI 1750390092

  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.

• Euphemia Ulunma Onwuegbuchu

  • Registered Nurse
  • Richmond, TX
  • NPI 1366108086
  NPD

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1053007666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6776 SOUTHWEST FWY STE 631",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6776 SOUTHWEST FWY STE 631",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770742107",
            "telephone_number": "713-875-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLES NEST PALLIATIVE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-15",
        "status": "A",
        "authorized_official_last_name": "EZEIBE",
        "authorized_official_first_name": "NGOZI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-875-8773"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Briana Alexus Eagleton, LCSW
• James Eagleton
• Theron Eagleton, LPC

• All providers in Houston, TX
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.