Organization Active NPI

Samson Healthcare, LLC

Doing business as Saint Peter's Hospice

  • Community Based Hospice Care Agency
  • Conroe, TX
National Provider Identifier
1083428304
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SAMSON HEALTHCARE, LLC
Doing business as
Saint Peter's Hospice
Practice address
3421 W Davis St Ste 150
Conroe, TX 77304-1848
Phone
(936) 339-2373
Fax
(936) 249-0318
NPI assigned
Feb 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Authorized official

Name
Mr. Aleksandar Bogdanovic, RN
Title
Co-Owner
Phone
(310) 987-0863

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH1000X
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

3421 W Davis St Ste 150
Conroe, TX 77304-1848

Mailing address

2605 Woods Estates Dr
Conroe, TX 77304-4873
Phone (936) 339-2373

Other names 1

  • Saint Peter's Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250715003170 TX Part A Provider - Hospice 6103331467 Practice locations: Conroe, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083428304. Details of each certification follow.

Hospice certification: CCN E21501

Legal name
SAMSON HEALTHCARE, LLC
Doing business as
SAINT PETER'S HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 17, 2025
Last certification
Oct 2, 2025
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
3421 W Davis St
Ste 150
Conroe, TX 77304-1848

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
45D2323473Saint Peter's Hospice3421 W Davis St, Ste 150, Conroe, TX 77304Certificate of waiverMay 6, 2027

National Provider Directory

National Provider Directory

Locations

3421 W Davis St
Ste 150
Conroe, TX 77304
Phone (936) 339-2373

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.

NameRoleSinceShare
Love N Sozi Individual Contracted Managing EmployeeMD; Apr 1, 2025
Nancy Bogdanovic Individual 5% Or Greater Direct Ownership InterestCo-Owner Jan 30, 2025 75%
Corporate OfficerPresident Jan 30, 2025 75%
Corporate DirectorBoard Member Jan 30, 2025 75%
W-2 Managing EmployeeHospice Administrator Jan 30, 2025 75%
Operational/Managerial ControlHospice Administrator Jan 30, 2025 75%
Aleksandar Bogdanovic Individual 5% Or Greater Direct Ownership InterestCo-Owner Jan 30, 2025 25%
Corporate OfficerOfficer May 16, 2025 25%
W-2 Managing EmployeeDPCS Jan 30, 2025 25%

Owners & managing parties with NPI records 1

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

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": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1083428304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 WOODS ESTATES DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773044873",
            "telephone_number": "936-339-2373",
            "fax_number": "936-249-0318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 W DAVIS ST STE 150",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041848",
            "telephone_number": "936-339-2373",
            "fax_number": "936-249-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMSON HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "BOGDANOVIC",
        "authorized_official_first_name": "ALEKSANDAR",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "310-987-0863",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Hospice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Peter's Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.