NPIMap

Organization Active NPI

Harbor Hospice of Houston, LP

  • Community Based Hospice Care Agency
  • Houston, TX
National Provider Identifier
1093004178
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
14077 Issued in TX
Legal business name
HARBOR HOSPICE OF HOUSTON, LP
Practice address
1322 Space Park Dr Ste C285
Houston, TX 77058-3480
Phone
(281) 461-6109
Fax
(281) 461-6038
NPI assigned
Mar 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Karen Carter
Title
Exec Admin Assts
Phone
(409) 730-2046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 14077 TX Primary

Addresses

Primary practice location

1322 Space Park Dr Ste C285
Houston, TX 77058-3480

Mailing address

3406 College St # 200
Beaumont, TX 77701-4612
Phone (409) 813-2332

Other identifiers 4

IdentifierTypeStateIssuer
01026079MedicaidTX
45D2027431OtherCLIA
14077OtherTXTDADS LICENSE
67-1745OtherMEDICARE CCN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111114000487 TX Part A Provider - Hospice 5395919146 Practice locations: Houston, TX

Hospice certification: CCN 671745

Legal name
HARBOR HOSPICE OF HOUSTON LP
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 24, 2012
Last certification
Feb 18, 2022
Ownership / control type
Proprietary - Other
Organization structure
PartnershipProprietary
Incorporated
Mar 28, 2011 in TX
Enrollment address
1322 Space Park Dr
Ste C285
Houston, TX 77058-3480

Care Compare: Hospice

Medicare Care Compare
Listed as
Harbor Hospice of Houston, LPCCN 671745
Ownership
For-Profit
Certified
May 24, 2012
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1600 James Bowie Dr
Baytown, TX 77520
Phone (281) 427-0222

1322 Space Park Dr
Ste C285
Houston, TX 77058
Phone (281) 461-6109

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Jawad Sarwar Individual Contracted Managing EmployeeMD; Jul 1, 2021
Karin Marshburn Individual W-2 Managing EmployeeAd; Jul 5, 2022
Karen Carter Individual W-2 Managing Employee Feb 1, 2019
Arfeen Properties, L.P. Organization, Beaumont, TX 5% Or Greater Direct Ownership Interest Mar 28, 2011 56%
HHCS Managers LLC Organization, Beaumont, TX LLC General Partnership Interest Mar 28, 2011 1%
Qamar U Arfeen Individual 5% Or Greater Indirect Ownership InterestManager of the General Partner Jun 15, 2011 28.5%
Operational/Managerial ControlManager of the General Partner Jun 15, 2011
Kelley L Arfeen Individual 5% Or Greater Indirect Ownership Interest Mar 28, 2011 28.5%

Owners & managing parties with NPI records 2

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

Facilities with the same owner 45

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 45

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 8

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": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1093004178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 COLLEGE ST # 200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014612",
            "telephone_number": "409-813-2332",
            "fax_number": "409-232-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 SPACE PARK DR STE C285",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583480",
            "telephone_number": "281-461-6109",
            "fax_number": "281-461-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HOSPICE OF HOUSTON, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "EXEC ADMIN ASSTS",
        "authorized_official_telephone_number": "409-730-2046"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "14077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01026079",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2027431",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDADS LICENSE",
            "identifier": "14077",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CCN",
            "identifier": "67-1745",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.