Active NPI
Samson Healthcare, LLC
Doing business as Saint Peter's Hospice
- Community Based Hospice Care Agency
- Conroe, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice Registered Nurse | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Enrollment address
- 3421 W Davis St
Ste 150
Conroe, TX 77304-1848
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2323473 | Saint Peter's Hospice | Certificate of waiver | May 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Love N Sozi | Contracted Managing Employee | Apr 1, 2025 | |
| Nancy Bogdanovic | 5% Or Greater Direct Ownership Interest | Jan 30, 2025 | 75% |
| Corporate Officer | Jan 30, 2025 | 75% | |
| Corporate Director | Jan 30, 2025 | 75% | |
| W-2 Managing Employee | Jan 30, 2025 | 75% | |
| Operational/Managerial Control | Jan 30, 2025 | 75% | |
| Aleksandar Bogdanovic | 5% Or Greater Direct Ownership Interest | Jan 30, 2025 | 25% |
| Corporate Officer | May 16, 2025 | 25% | |
| W-2 Managing Employee | 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.
-
- Hospitalist Physician
- The Woodlands, TX
- NPI 1972769255
Contracted Managing Employee
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.