Memorial Family for Hospice and Palliative Care, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MEMORIAL FAMILY FOR HOSPICE AND PALLIATIVE CARE, LLC

Practice address

3634 Glenn Lakes LN Ste 102
Missouri City, TX 77459-4045

Phone

(832) 744-1390

NPI assigned

Nov 20, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vanessa Solomon

Title

Owner

Phone

(832) 744-1390

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN A91535

Legal name

MEMORIAL FAMILY FOR HOSPICE AND PALLIATIVE CARE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 19, 2022

Last certification

Oct 5, 2022

Ownership / control type

Proprietary - Individual

Organization structure

LLCProprietary

Incorporated

Nov 24, 2021 in TX

Enrollment address

3634 Glenn Lakes LN
Ste 102
Missouri City, TX 77459-4045

Listed as

Memorial Family for Hospice and Palliative Care LLCCCN A91535 · All quality measures

Certified

Oct 19, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Memorial Family for Hospice and Palliative Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Memorial Family for Hospice and Palliative Care LLC

  • Community Based Hospice Care Agency
  • Houston, TX
  • NPI 1871251512
  NPD tax ID

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Change-of-ownership history 1

Change of ownership 1

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

• Memorial Family for Hospice and Palliative Care LLC

  • Community Based Hospice Care Agency
  • Houston, TX
  • NPI 1871251512

  Acquired from, 2023-07-18

  CMS change of ownership

Affiliated clinicians 1

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

• Aaliya Islam Amer, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Katy, TX
  • NPI 1518999093

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1134994007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3634 GLENN LAKES LN STE 102",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594045",
            "telephone_number": "346-585-4025",
            "fax_number": "346-585-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3634 GLENN LAKES LN STE 102",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594045",
            "telephone_number": "832-744-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL FAMILY FOR HOSPICE AND PALLIATIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-744-1390"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Melissa Y. Carpentier, PLLC (Renew Mental Health & Wellness)
• Debbie A Melton-Myers, LPC
• Memorial Hermann
• Memorial Hermann Health System (Memorial Hermann Ft. Bend Rehab)
• Christine Alexis Mendoza, COTA
• Siegfred Bacharo Mendoza
• Eva Meng

• Community Based Hospice Care Agency in Missouri City, TX
• Providers in Missouri City, 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 Oct 10, 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.

Verify at the official NPI Registry.