Accredited Group II LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ACCREDITED GROUP II LLC

Doing business as

Accredited Hospices of America

Practice address

21733 Provincial Blvd Ste 920
Katy, TX 77450-6536

Phone

(832) 408-7999

Fax

(866) 708-0821

NPI assigned

Apr 4, 2011

Last updated

Aug 27, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Debra Mosbacher

Title

Vice President

Phone

(832) 408-7999

Specialties & licenses 1

Addresses

Other names 1

• Accredited Hospices of America Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114216868. Details of each certification follow.

• CCN 671725 Hospice · Active · Details

Hospice certification: CCN 671725

Legal name

ACCREDITED GROUP II LLC

Doing business as

ACCREDITED HOSPICE OF AMERICA

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 8, 2012

Last certification

Feb 10, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Enrollment address

21733 Provincial Blvd
Ste 920
Katy, TX 77450-6536

Listed as

Accredited Hospices of AmericaCCN 671725 · All quality measures

Ownership

For-Profit

Certified

Jun 8, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

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.

• Moo J. Chung, M.D.

  • Internal Medicine Physician
  • Katy, TX
  • NPI 1306846977

  W-2 Managing Employee

  CMS ownership

Affiliated clinicians 2

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

• Roger Enrique Campana, MD

  • Internal Medicine Physician
  • Katy, TX
  • NPI 1578859427

  Hospice

  Care Compare affiliation
• Moo J. Chung, M.D.

  • Internal Medicine Physician
  • Katy, TX
  • NPI 1306846977

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1114216868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 701",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774410701",
            "telephone_number": "281-346-0777",
            "fax_number": "866-708-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21733 PROVINCIAL BLVD STE 920",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774506536",
            "telephone_number": "832-408-7999",
            "fax_number": "866-708-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCREDITED GROUP II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "MOSBACHER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "832-408-7999",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accredited Hospices of America",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Accredited Hospices of America",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Katy, TX
• 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 27, 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.