Eden Hospice Care Services, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

EDEN HOSPICE CARE SERVICES, INC.

Practice address

2440 Texas Pkwy Ste 260
Missouri City, TX 77489-4085

Phone

(281) 778-0040

Fax

(281) 778-0041

NPI assigned

Apr 27, 2015

Organization subpart

No

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

Authorized official

Name

Queen Owunari Briggs

Title

Owner

Phone

(281) 778-0040

Specialties & licenses 1

Addresses

Other names 1

• EDEN HOSPICE Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 741683

Legal name

EDEN HOSPICE CARE SERVICES, INC.

Doing business as

EDEN HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 2, 2017

Last certification

Jun 23, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Apr 21, 2015 in TX

Enrollment address

2440 Texas Pkwy
Ste 260
Missouri City, TX 77489-4085

Listed as

Eden HospiceCCN 741683

Ownership

For-Profit

Certified

Jul 2, 2017

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

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.

• Rubin M Simon, MD

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1275776205

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1124405253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 225",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774970225",
            "telephone_number": "281-778-0400",
            "fax_number": "281-778-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 TEXAS PKWY STE 260",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774894085",
            "telephone_number": "281-778-0040",
            "fax_number": "281-778-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN HOSPICE CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "BRIGGS",
        "authorized_official_first_name": "QUEEN",
        "authorized_official_middle_name": "OWUNARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-778-0040"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDEN HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EDEN HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Edith Ede
• Joy Ngozi Ede, APRN
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• Theda Edwards-Labome, OWNER/BILLER/CODER
• Zachary Edwards
• Egbe F Ware
• Mona Rachel Egby, R.PH.

• Community Based Hospice Care Agency in Missouri City, TX
• Providers in Missouri City, 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 Apr 16, 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.