Organization Active NPI

Devoted Hospice Care LLC

  • Community Based Hospice Care Agency
  • Houston, TX
National Provider Identifier
1083214373
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
DEVOTED HOSPICE CARE LLC
Practice address
16851 Anna Green St Ste 201
Houston, TX 77084-1240
Phone
(832) 248-8878
Fax
(877) 869-3884
NPI assigned
Oct 27, 2020
Last updated
Nov 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Ms. Christabel Forka
Title
Administrator
Phone
(832) 248-8878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

16851 Anna Green St Ste 201
Houston, TX 77084-1240

Mailing address

16851 Anna Green St Ste 201
Houston, TX 77084-1240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210511003180 TX Part A Provider - Hospice 9931518511 Practice locations: Houston, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083214373. Details of each certification follow.

Hospice certification: CCN 971745

Legal name
DEVOTED HOSPICE CARE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 26, 2021
Last certification
Oct 26, 2021
Ownership / control type
Proprietary - Individual
Organization structure
LLCProprietary
Incorporated
Sep 17, 2020 in TX
Enrollment address
550 Greens Pkwy
Ste 100a
Houston, TX 77067-4538

Care Compare: Hospice

Medicare Care Compare
Listed as
Devoted Hospice Care LLCCCN 971745 · All quality measures
Ownership
For-Profit
Certified
Oct 26, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2221513Devoted Hospice Care LLC550 Greens Parkway Ste 100a, Houston, TX 77067Certificate of waiverApr 10, 2028

National Provider Directory

National Provider Directory

Locations

550 Greens Pkwy
Ste 100A
Houston, TX 77067
Phone (346) 347-6096

9894 Bissonnet St
Ste 394
Houston, TX 77036
Phone (832) 232-1045

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Glory Mofa Individual 5% Or Greater Direct Ownership InterestAdministrator May 1, 2022 100%
Corporate DirectorGeneral Director Jun 1, 2022 100%
W-2 Managing EmployeeAdministrator Jun 1, 2022 100%

Practitioners & affiliated clinicians

Practitioners 1

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": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1083214373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16851 ANNA GREEN ST STE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770841240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16851 ANNA GREEN ST STE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770841240",
            "telephone_number": "832-248-8878",
            "fax_number": "877-869-3884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVOTED HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "FORKA",
        "authorized_official_first_name": "CHRISTABEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-248-8878",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.