Faith Community Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

009465 Issued in TX

Legal business name

FAITH COMMUNITY HOSPICE LLC

Practice address

4721 Garth Rd
Ste H
Baytown, TX 77521-2153

Phone

(281) 422-0414

Fax

(281) 422-9605

NPI assigned

Jun 22, 2005

Last updated

Sep 27, 2021By 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

Mrs. Cynthia Patterson, BSN,RN

Title

Administrator

Phone

(281) 422-0414

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144226499. Details of each certification follow.

• CCN 451787 Hospice · Active · Details

Hospice certification: CCN 451787

Legal name

FAITH COMMUNITY HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 4, 2005

Last certification

Apr 29, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Aug 18, 2004 in TX

Enrollment address

4721 Garth Road
Suite H
Baytown, TX 77521-2153

Listed as

Faith Community Hospice LLCCCN 451787 · All quality measures

Ownership

For-Profit

Certified

Mar 4, 2005

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Affiliated clinicians 3

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

• Kory R Guidry, M.D.

  • Family Medicine Physician
  • Baytown, TX
  • NPI 1477533693

  Hospice

  Care Compare affiliation
• Jerome Charles Wasserstein, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Houston, TX
  • NPI 1174584452

  Hospice

  Care Compare affiliation
• Moe Oo Zaw, M.D

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1255330106

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1144226499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 GARTH RD",
            "address_2": "STE H",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212153",
            "telephone_number": "281-422-0414",
            "fax_number": "281-422-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 GARTH RD",
            "address_2": "STE H",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212153",
            "telephone_number": "281-422-0414",
            "fax_number": "281-422-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH COMMUNITY HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-422-0414",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN,RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "009465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001013321",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charleston Espanol, DDS
• James G. Evans, P.A.-C
• Marissa Evans, OD
• Eyemart Express LLC
• Eyemasters of Texas LTD (EyeMasters)
• Faiza Tahir MD PA (Tam Care)
• Family Chiropractic Health Center (Baytown Back Pain & Health Center)
• Family Matters Logistic
• Susan Willig Fan, M.D.
• Daniela Marta Fant, LCSW

• Community Based Hospice Care Agency in Baytown, TX
• Providers in Baytown, 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 Sep 27, 2021; 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.