Organization Active NPI

Specialty Care Hospice, LLC

  • Community Based Hospice Care Agency
  • Katy, TX
National Provider Identifier
1104656016
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SPECIALTY CARE HOSPICE, LLC
Practice address
21015 Belmont Village Way
Katy, TX 77449-3193
Phone
(346) 646-3511
Fax
(346) 646-3531
NPI assigned
Aug 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
Lori Clark, RN
Title
Owner
Phone
(346) 818-4080

Specialties & licenses 1

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

Addresses

Primary practice location

21015 Belmont Village Way
Katy, TX 77449-3193

Mailing address

21015 Belmont Village Way
Katy, TX 77449-3193
Phone (346) 646-3511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241227003073 TX Part A Provider - Hospice 4688101801 Practice locations: Katy, TX

Hospice certification: CCN A91759

Legal name
SPECIALTY CARE HOSPICE, LLC
Doing business as
SPECIALTY CARE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 6, 2025
Last certification
Jan 31, 2025
Organization structure
LLCProprietary
Enrollment address
21015 Belmont Village Way
Katy, TX 77449-3193

Care Compare: Hospice

Medicare Care Compare
Listed as
Specialty Care HospiceCCN A91759
Certified
Feb 6, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Lori Clark Individual 5% Or Greater Direct Ownership InterestMember Aug 20, 2024 100%
W-2 Managing EmployeeAd; Aug 23, 2024 100%
Brannon George Individual Contracted Managing EmployeeMD; Aug 23, 2024

Owners & managing parties with NPI records 1

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

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1104656016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21015 BELMONT VILLAGE WAY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774493193",
            "telephone_number": "346-646-3511",
            "fax_number": "346-646-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21015 BELMONT VILLAGE WAY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774493193",
            "telephone_number": "346-646-3511",
            "fax_number": "346-646-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY CARE HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-05",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-818-4080",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.