Active NPI
HTH Holy Trinity Healthcare, Inc.
- Home Health Agency
- Stafford, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 014073
- Legal business name
- HTH HOLY TRINITY HEALTHCARE, INC.
- Practice address
- 11104 W. Airport Blvd.
Suite 131
Stafford, TX 77477 - Phone
- (713) 333-3660
- Fax
- (713) 333-4660
- NPI assigned
- Oct 7, 2006
- 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. Patrick J Finn, RN, JD
- Title
- Administrator
- Phone
- (713) 333-3660
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 009912 | TX | |
| Home Health Agency | 251E00000X | |||
| Home Health Agency | 251E00000X | 014073 | TX | Primary |
Addresses
Primary practice location
11104 W. Airport Blvd.
Suite 131
Stafford, TX 77477
Mailing address
11104 W. Airport Blvd
Suite 131
Stafford, TX 77477
Phone (713) 333-3660
Other names 1
- HTH Holy Trinity Healthcare, Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050630000093 | TX | Part A Provider - Home Health Agency | 3870539802 | Practice locations: Sugar Land, TX |
Home health agency certification: CCN 677990
- Legal name
- HTH HOLY TRINITY HEALTHCARE, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 13, 2006
- Last certification
- Aug 6, 2020
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jun 18, 2006 in TX
- Enrollment address
- 12808 W Airport Blvd
Ste 230
Sugar Land, TX 77478-6185
Care Compare: Home health agency
Medicare Care Compare- Listed as
- HTH (Holy Trinity Healthcare), Inc.
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jun 13, 2006
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
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 |
|---|---|---|---|
| 45D1051328 | Holy Trinity Healthcare Inc | Certificate of waiver | Feb 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
7322 Southwest Fwy
Ste 1860
Houston, TX 77074
Phone (713) 333-3660
12808 W Airport Blvd
Ste 230
Sugar Land, TX 77478
Phone (847) 363-2144
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 |
|---|---|---|---|
| Magda Bandong | 5% Or Greater Direct Ownership Interest | Dec 10, 2010 | 25% |
| W-2 Managing Employee | Dec 10, 2010 | 25% | |
| Patrick Finn | 5% Or Greater Direct Ownership Interest | Dec 10, 2010 | 25% |
| Corporate Officer | Dec 10, 2010 | 25% | |
| John L Whiddon | 5% Or Greater Direct Ownership Interest | Dec 10, 2010 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1481587200000",
"number": "1083701296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11104 W. AIRPORT BLVD",
"address_2": "SUITE 131",
"city": "STAFFORD",
"state": "TX",
"postal_code": "77477",
"telephone_number": "713-333-3660",
"fax_number": "713-333-4660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11104 W. AIRPORT BLVD.",
"address_2": "SUITE 131",
"city": "STAFFORD",
"state": "TX",
"postal_code": "77477",
"telephone_number": "713-333-3660",
"fax_number": "713-333-4660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HTH HOLY TRINITY HEALTHCARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-07",
"last_updated": "2016-12-13",
"status": "A",
"authorized_official_last_name": "FINN",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "713-333-3660",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN, JD"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "009912",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "014073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HTH Holy Trinity Healthcare, Inc",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.