Active NPI
Capstone Hospice, LLC
- Community Based Hospice Care Agency
- Jersey Village, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- CAPSTONE HOSPICE, LLC
- Practice address
- 17347 Village Green Dr Ste 109
Jersey Village, TX 77040-1164 - Phone
- (281) 204-2695
- Fax
- (281) 204-2917
- NPI assigned
- Jan 8, 2021
- 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
- David Gober
- Title
- Director
- Phone
- (832) 867-7851
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
17347 Village Green Dr Ste 109
Jersey Village, TX 77040-1164
Mailing address
17347 Village Green Dr Ste 109
Jersey Village, TX 77040-1164
Phone (281) 204-2695
Other names 1
- Capstone Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220419002887 | TX | Part A Provider - Hospice | 5799172896 | Practice locations: Jersey Village, TX |
Hospice certification: CCN A91524
- Legal name
- CAPSTONE HOSPICE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Aug 26, 2022
- Last certification
- Aug 26, 2022
- Ownership / control type
- Proprietary - Partnership
- Organization structure
- LLC
- Enrollment address
- 17347 Village Green Dr
Ste 109
Jersey Village, TX 77040-1164
Care Compare: Hospice
Medicare Care Compare- Listed as
- Capstone Hospice LLC
- Certified
- Aug 26, 2022
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2289756 | Capstone Hospice LLC | Certificate of waiver | Sep 13, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Michael Buxbaum | Contracted Managing Employee | Jun 7, 2023 | |
| Houston Care Partners, LLC | 5% Or Greater Direct Ownership Interest | Dec 20, 2020 | 100% |
| Operational/Managerial Control | Dec 21, 2020 | 100% | |
| David Gober | Corporate Director | Dec 21, 2020 | |
| Operational/Managerial Control | Dec 21, 2020 | 75% | |
| Jesenia Paredes | Corporate Officer | Apr 1, 2025 | 100% |
| Kristi a Justice | Contracted Managing Employee | Apr 1, 2023 | |
| Corporate Officer | Apr 1, 2025 | 100% | |
| Operational/Managerial Control | Dec 21, 2020 | 15% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Adult Medicine Physician
- Houston, TX
- NPI 1003920760
Contracted Managing Employee
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Shenandoah, TX
- NPI 1891224424
-
- Family Medicine Physician
- Houston, TX
- NPI 1356668347
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729036800000",
"number": "1114515657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17347 VILLAGE GREEN DR STE 109",
"city": "JERSEY VILLAGE",
"state": "TX",
"postal_code": "770401164",
"telephone_number": "281-204-2695",
"fax_number": "281-204-2917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17347 VILLAGE GREEN DR STE 109",
"city": "JERSEY VILLAGE",
"state": "TX",
"postal_code": "770401164",
"telephone_number": "281-204-2695",
"fax_number": "281-204-2917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPSTONE HOSPICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-08",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A",
"authorized_official_last_name": "GOBER",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "832-867-7851"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Capstone Hospice",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Capstone Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jersey Village, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.