Active NPI
Paramount Palliative and Hospice of Texas LLC
- Community Based Hospice Care Agency
- Spring, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- PARAMOUNT PALLIATIVE AND HOSPICE OF TEXAS LLC
- Practice address
- 7043 Sliding Rock Cir
Spring, TX 77379-1423 - Phone
- (832) 245-9121
- NPI assigned
- Oct 12, 2022
- Last updated
- Oct 17, 2024
- 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
- Philip John Frost
- Title
- Administrator
- Phone
- (346) 505-0160
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
7043 Sliding Rock Cir
Spring, TX 77379-1423
Mailing address
7043 Sliding Rock Cir
Spring, TX 77379-1423
Phone (832) 245-9121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1174249031. Details of each certification follow.
Hospice certification: CCN A91684
- Legal name
- PARAMOUNT PALLIATIVE AND HOSPICE OF TEXAS LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Nov 16, 2023
- Last certification
- Oct 19, 2023
- Organization structure
- LLC
- Incorporated
- Sep 19, 2022 in TX
- Enrollment address
- 7043 Sliding Rock Cir
Spring, TX 77379-1423
Care Compare: Hospice
Medicare Care Compare- Listed as
- Paramount Palliative and Hospice of Texas LLC
- Certified
- Nov 16, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Philip John Frost | 5% Or Greater Direct Ownership Interest | Feb 24, 2023 | 40% |
| Corporate Officer | Feb 24, 2023 | 40% | |
| Corporate Director | Feb 24, 2023 | 40% | |
| Operational/Managerial Control | Feb 24, 2023 | 40% | |
| George Kimbell Wilcox | W-2 Managing Employee | May 13, 2024 | |
| Sandra a Maldonado | 5% Or Greater Direct Ownership Interest | Feb 24, 2023 | 60% |
| Corporate Officer | Feb 24, 2023 | 60% | |
| Corporate Director | Feb 24, 2023 | 60% | |
| Operational/Managerial Control | Feb 24, 2023 | 60% | |
| Justo L Cisneros | W-2 Managing Employee | May 29, 2024 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- San Antonio, TX
- NPI 1427168061
W-2 Managing Employee
Practitioners & affiliated clinicians
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.
-
- Family Nurse Practitioner
- Plano, TX
- NPI 1669835708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729123200000",
"number": "1174249031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7043 SLIDING ROCK CIR",
"city": "SPRING",
"state": "TX",
"postal_code": "773791423",
"telephone_number": "832-245-9121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7043 SLIDING ROCK CIR",
"city": "SPRING",
"state": "TX",
"postal_code": "773791423",
"telephone_number": "832-245-9121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARAMOUNT PALLIATIVE AND HOSPICE OF TEXAS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-12",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A",
"authorized_official_last_name": "FROST",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "346-505-0160"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.