Organization Active NPI

HTH Holy Trinity Healthcare, Inc.

  • Home Health Agency
  • Stafford, TX
National Provider Identifier
1083701296
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
014073 Issued in TX
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

Updated by the provider on Dec 13, 2016

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)CodeLicenseStatePrimary
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 Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.CCN 677990
Overall star rating
2 of 5
Ownership
Proprietary
Certified
Jun 13, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
45D1051328Holy Trinity Healthcare Inc12808 W Airport Blvd, Suite 230, Sugar Land, TX 77478Certificate of waiverFeb 28, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Magda Bandong Individual 5% Or Greater Direct Ownership Interest Dec 10, 2010 25%
W-2 Managing EmployeeAlt Don Dec 10, 2010 25%
Patrick Finn Individual 5% Or Greater Direct Ownership Interest Dec 10, 2010 25%
Corporate OfficerCeo Dec 10, 2010 25%
John L Whiddon Individual 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

Verify at the official NPI Registry.