Active NPI
Specialty Care Hospice, LLC
- Community Based Hospice Care Agency
- Katy, TX
National Provider Identifier
1104656016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Enrollment address
- 21015 Belmont Village Way
Katy, TX 77449-3193
Care Compare: Hospice
Medicare Care Compare- Listed as
- Specialty Care Hospice
- Certified
- Feb 6, 2025
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Lori Clark | 5% Or Greater Direct Ownership Interest | Aug 20, 2024 | 100% |
| W-2 Managing Employee | Aug 23, 2024 | 100% | |
| Brannon George | Contracted Managing Employee | 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.
-
- Internal Medicine Physician
- Houston, TX
- NPI 1891093662
Contracted Managing Employee
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.