NPIMap

Organization Active NPI

Paramount Palliative and Hospice of Texas LLC

  • Community Based Hospice Care Agency
  • Spring, TX
National Provider Identifier
1174249031
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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)CodeLicenseStatePrimary
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 TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230728003111 TX Part A Provider - Hospice 8729449327 Practice locations: Spring, TX
O20260331004629 TX Part B Supplier - Clinic/Group Practice 8729449327 Receives reassigned benefits from 1 practitioner
Practice locations: Spring, TX

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
LLCProprietary
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 LLCCCN A91684
Certified
Nov 16, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Philip John Frost Individual 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 Individual W-2 Managing EmployeeMD; May 13, 2024
Sandra a Maldonado Individual 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 Individual W-2 Managing EmployeeMD; 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.

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": "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

Verify at the official NPI Registry.