NPIMap

Organization Active NPI

Asian American Health Coalition of the Greater Houston Area

Doing business as HOPE Clinic - West

  • Federally Qualified Health Center (FQHC)
  • Houston, TX
National Provider Identifier
1073935441
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA
Doing business as
HOPE Clinic - West
Practice address
12121 Westheimer Rd
Suite 205
Houston, TX 77077-6682
Phone
(713) 773-0803
NPI assigned
Jan 20, 2014
Last updated
Oct 16, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Dr. Andrea Caracostis
Title
Chief Executive Officer
Phone
(713) 773-0803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

12121 Westheimer Rd
Suite 205
Houston, TX 77077-6682

Mailing address

13930 Bellaire Blvd
Houston, TX 77083
Phone (713) 773-0803

Other names 1

  • HOPE Clinic - West Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080401000444 TX Part B Supplier - Clinic/Group Practice 7214014208 Receives reassigned benefits from 87 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Houston, TX
O20141104000456 TX Part A Provider - Federally Qualified Health Center (FQHC) 7214014208 Practice locations: Houston, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073935441. Details of each certification follow.

Federally qualified health center certification: CCN 741870

Legal name
ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA
Doing business as
HOPE CLINIC-WEST
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 3, 2014
Last certification
Nov 3, 2014
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Apr 19, 2000 in TX
Enrollment address
12121 Westheimer Road
Suite 205
Houston, TX 77077-6682

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Asian American Health Coalition of the Greater Houston Area7 organizations share this tax ID, including this one
Part of
Asian American Health Coalition of the Greater Houston Area

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12121 Westheimer Rd
Ste 205
Houston, TX 77077

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Qwatosha Bessellieu Individual Corporate DirectorBoard Member Aug 28, 2014
Linda Nguyen Individual W-2 Managing EmployeeTreasurer of the Board Feb 27, 2014
Peter C Kwan Individual Corporate DirectorBoard Member Apr 16, 2013
Alex Leung Individual Corporate OfficerSecretary of the Board Sep 1, 2014
Richard R. Andrews Individual Corporate OfficerChief Medical Officer Dec 10, 2009
W-2 Managing EmployeeChief Medical Officer Dec 10, 2009
Lisa Helfman Individual Corporate DirectorBoard Member Jul 30, 2013
Andrea Caracostis Individual Corporate OfficerChief Executive Officer Dec 7, 2007
W-2 Managing EmployeeChief Executive Officer Feb 7, 2007
Rogene Calvert Individual Corporate DirectorBoard Member Feb 27, 2014
Asian American Health Coalition of the Greater Houston Area Organization, Houston, TX Non-profit Operational/Managerial Control Apr 19, 2000 100%
Karen Love Individual W-2 Managing EmployeeVice President of the Board May 21, 2013
Rafique Jangda Individual Corporate DirectorBoard Member Feb 27, 2014
Tito Refi Individual W-2 Managing EmployeePresident of the Board May 21, 2013

Owners & managing parties with NPI records 6

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hope Clinic - AliefHouston, TX, CCN 741915 Federally qualified health center Operational/Managerial Control (100%) Apr 19, 2000
Asian American Health Coalition of the Greater Houston AreaHouston, TX, CCN 451856 Federally qualified health center Operational/Managerial Control (100%) Oct 1, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1073935441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13930 BELLAIRE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77083",
            "telephone_number": "713-773-0803",
            "fax_number": "713-271-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 WESTHEIMER RD",
            "address_2": "SUITE 205",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776682",
            "telephone_number": "713-773-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASIAN AMERICAN HEALTH COALITION OF THE GREATER HOUSTON AREA",
        "enumeration_date": "2014-01-20",
        "last_updated": "2023-10-16",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "CARACOSTIS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "713-773-0803",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOPE Clinic - West",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HOPE Clinic - West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.