Active NPI
Loving Hearts Hospice / Palliative Care Inc.
- Community Based Hospice Care Agency
- Houston, TX
National Provider Identifier
1124545520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- LOVING HEARTS HOSPICE / PALLIATIVE CARE INC.
- Practice address
- 6671 Southwest Fwy Ste 310
Houston, TX 77074-2231 - Phone
- (832) 831-5951
- Fax
- (832) 804-7975
- NPI assigned
- Aug 25, 2017
- 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
- Serge Ukawilu
- Title
- Owner
- Phone
- (832) 831-5951
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
6671 Southwest Fwy Ste 310
Houston, TX 77074-2231
Mailing address
6671 Southwest Fwy Ste 310
Houston, TX 77074-2231
Phone (832) 831-5951
Other names 1
- LOVING HEARTS HOSPICE / PALLIATIVE CARE INC.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181214002945 | TX | Part A Provider - Hospice | 1759626021 | Practice locations: Houston, TX |
Hospice certification: CCN 741792
- Legal name
- LOVING HEARTS HOSPICE & PALLIATIVE CARE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 28, 2019
- Last certification
- Mar 29, 2019
- Ownership / control type
- Proprietary - Individual
- Organization structure
- Corporation
- Incorporated
- Sep 12, 2017 in TX
- Enrollment address
- 6671 Southwest Fwy
Ste 310
Houston, TX 77074-2231
Care Compare: Hospice
Medicare Care Compare- Listed as
- Loving Hearts Hospice/Palliative Care Inc
- Ownership
- For-Profit
- Certified
- Mar 28, 2019
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
6666 Harwin Dr
Ste 205A
Houston, TX 77036
Phone (713) 408-7722
Ownership & related parties
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Hameed Ali | Contracted Managing Employee | Jan 1, 2024 | |
| Serge Tchibinda | 5% Or Greater Direct Ownership Interest | Sep 15, 2018 | 100% |
| Operational/Managerial Control | Sep 15, 2018 | ||
| Chidi Benson | W-2 Managing Employee | Jan 1, 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
- Temple, TX
- NPI 1104974955
Contracted Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 1
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": "1503619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713830400000",
"number": "1124545520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6671 SOUTHWEST FWY STE 310",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770742231",
"telephone_number": "832-831-5951",
"fax_number": "832-804-7975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6671 SOUTHWEST FWY STE 310",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770742231",
"telephone_number": "832-831-5951",
"fax_number": "832-804-7975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOVING HEARTS HOSPICE / PALLIATIVE CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-25",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A",
"authorized_official_last_name": "UKAWILU",
"authorized_official_first_name": "SERGE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-831-5951"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "LOVING HEARTS HOSPICE / PALLIATIVE CARE INC.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.