Hearts Palliative & Hospice Care, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HEARTS PALLIATIVE & HOSPICE CARE, LLC

Practice address

9894 Bissonnet St Ste 395
Houston, TX 77036-8241

Phone

(346) 205-5780

NPI assigned

Jul 23, 2021

Organization subpart

No

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

Authorized official

Name

Johnson Ambroise

Title

Manager

Phone

(346) 205-5780

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN A91690

Legal name

HEARTS PALLIATIVE & HOSPICE CARE, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 6, 2023

Last certification

Nov 22, 2023

Organization structure

LLCProprietary

Incorporated

Jul 10, 2021 in TX

Enrollment address

9894 Bissonnet St
Ste 395
Houston, TX 77036-8241

Listed as

Hearts Palliative & Hospice Care LLCCCN A91690

Certified

Dec 6, 2023

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

All disclosed owners & managing parties 1

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

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1104499391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9894 BISSONNET ST STE 395",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368241",
            "telephone_number": "346-205-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9894 BISSONNET ST STE 395",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770368241",
            "telephone_number": "346-205-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTS PALLIATIVE & HOSPICE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "AMBROISE",
        "authorized_official_first_name": "JOHNSON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "346-205-5780"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.