Blue Star Hospice, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BLUE STAR HOSPICE, INC

Doing business as

Blue Star Hospice, Inc

Practice address

423 Mason Park Blvd Ste A1
Katy, TX 77450

Phone

(832) 727-9119

Fax

(832) 204-8414

NPI assigned

Oct 29, 2013

Organization subpart

No

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

Authorized official

Name

Sonia Esther Rossi

Title

Officer

Phone

(832) 727-9119

Specialties & licenses 1

Addresses

Other names 1

• BLUE STAR HOSPICE, INC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 741560

Legal name

BLUE STAR HOSPICE, INC

Doing business as

BLUE STAR HOSPICE, INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 6, 2015

Last certification

May 20, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Sep 27, 2013 in TX

Enrollment address

2023 N Mason Rd
Ste 202
Katy, TX 77449-3779

Listed as

Blue Star Hospice, Inc.CCN 741560 · All quality measures

Ownership

For-Profit

Certified

May 6, 2015

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 6

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

Owners & managing parties with NPI records 1

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

• Elizabeth A Coon-Nguyen, MD

  • Family Medicine Physician
  • Kingwood, TX
  • NPI 1104856723

  Corporate Director

  CMS ownership

Practitioners 1

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

• Jaime L Hatchett, FNP

  • Family Nurse Practitioner
  • Katy, TX
  • NPI 1154910461
  NPD (past)

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Elizabeth A Coon-Nguyen, MD

  • Family Medicine Physician
  • Kingwood, TX
  • NPI 1104856723

  Hospice

  Care Compare affiliation
• Luther Sintim, M.D.

  • Hospitalist Physician
  • Shenandoah, TX
  • NPI 1477940856

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1104254242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 MASON PARK BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774506232",
            "telephone_number": "832-727-9119",
            "fax_number": "832-204-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 MASON PARK BLVD STE A1",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77450",
            "telephone_number": "832-727-9119",
            "fax_number": "832-204-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE STAR HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "ROSSI",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "ESTHER",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "832-727-9119"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLUE STAR HOSPICE, INC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BLUE STAR HOSPICE, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Katy, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.

Verify at the official NPI Registry.