Organization Active NPI

Avery Hospice LLC

Doing business as Avery Hospice

  • Community Based Hospice Care Agency
  • Houston, TX
National Provider Identifier
1124605803
Registry record updated Apr 22, 2022
On this page

Key facts

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

Updated by the provider on Apr 22, 2022

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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
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 Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Dec 9, 2024 Change of OwnershipThis provider was the seller Pinnacle HospiceCCN 971726, TX, NPI 1013723386

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

Verify at the official NPI Registry.