Organization Active NPI

Loving Hearts Hospice / Palliative Care Inc.

  • Community Based Hospice Care Agency
  • Houston, TX
National Provider Identifier
1124545520
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Apr 23, 2024

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)CodeLicenseStatePrimary
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. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 741792
Ownership
For-Profit
Certified
Mar 28, 2019
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Hameed Ali Individual Contracted Managing EmployeeMD; Jan 1, 2024
Serge Tchibinda Individual 5% Or Greater Direct Ownership Interest Sep 15, 2018 100%
Operational/Managerial Control Sep 15, 2018
Chidi Benson Individual W-2 Managing EmployeeAd; 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.

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

Verify at the official NPI Registry.