Premier Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PREMIER HOSPICE LLC

Doing business as

Premier Hospice

Practice address

4606 FM 1960 Rd W Ste 675
Houston, TX 77069-4629

Phone

(832) 610-9733

Fax

(346) 998-1662

NPI assigned

Nov 25, 2016

Last updated

Jun 18, 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

Varfeeta SirleafNPI 1659550143

Title

Administrator

Phone

(832) 610-9733

Specialties & licenses 1

Addresses

Other names 1

• Premier Hospice 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 1124561055. Details of each certification follow.

• CCN 741732 Hospice · Active · Details

Hospice certification: CCN 741732

Legal name

PREMIER HOSPICE LLC

Doing business as

PREMIER HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 13, 2018

Last certification

Mar 24, 2021

Ownership / control type

Other

Organization structure

LLCProprietary

Enrollment address

4606 FM 1960 Rd W
Ste 675
Houston, TX 77069-4629

Listed as

Premier HospiceCCN 741732 · All quality measures

Ownership

Other

Certified

May 13, 2018

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 2

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.

• Patrick Toluwatele Ogidan, M.D.

  • Internal Medicine Physician
  • Shenandoah, TX
  • NPI 1629367602

  Contracted Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Varfeeta Sirleaf

  • Emergency Registered Nurse
  • Providence, RI
  • NPI 1659550143
  NPD Authorized official

Affiliated clinicians 1

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

• Patrick Toluwatele Ogidan, M.D.

  • Internal Medicine Physician
  • Shenandoah, TX
  • NPI 1629367602

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1480032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592438400000",
    "number": "1124561055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 TUCUMCARI DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 FM 1960 RD W STE 675",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694629",
            "telephone_number": "832-610-9733",
            "fax_number": "346-998-1662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2011 Tucumcari Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770902051",
            "country_code": "US",
            "telephone_number": "281-836-6303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PREMIER HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-25",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "SIRLEAF",
        "authorized_official_first_name": "VARFEETA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-610-9733"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Premier Infusion Advancements
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• Community Based Hospice Care Agency in Houston, TX
• Providers in Houston, 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 Jun 18, 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.