Active NPI
Avery Hospice LLC
Doing business as Avery Hospice
- Community Based Hospice Care Agency
- Houston, TX
National Provider Identifier
1124605803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- AVERY HOSPICE LLC
- Doing business as
- Avery Hospice
- Practice address
- 9100 Southwest Fwy Ste 248
Houston, TX 77074-1519 - Phone
- (713) 261-9571
- NPI assigned
- Mar 27, 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
- Regina Ottan Obi
- Title
- Administrator
- Phone
- (281) 661-3621
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
9100 Southwest Fwy Ste 248
Houston, TX 77074-1519
Mailing address
9100 Southwest Fwy Ste 248
Houston, TX 77074-1519
Phone (281) 661-3621
Other names 1
- AVERY HOSPICE
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Houston |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryOwnership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Dec 9, 2024 | Change of Ownership | Pinnacle Hospice |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Corpus Christi Hospice
- Community Based Hospice Care Agency
- Pearland, TX
- NPI 1013723386
Sold to, 2024-12-09
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Houston, TX
- NPI 1164950283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650585600000",
"number": "1124605803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9100 SOUTHWEST FWY STE 248",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770741519",
"telephone_number": "281-661-3621",
"fax_number": "346-293-8787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9100 SOUTHWEST FWY STE 248",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770741519",
"telephone_number": "713-261-9571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVERY HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-27",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A",
"authorized_official_last_name": "OBI",
"authorized_official_first_name": "REGINA",
"authorized_official_middle_name": "OTTAN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "281-661-3621"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Houston",
"affiliation": "N",
"address_1": "9100 Southwest Fwy Ste 248",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770741519",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "AVERY HOSPICE",
"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 22, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.