Active NPI
Hospice Care Team, Inc
- Community Based Hospice Care Agency
- Lake Jackson, TX
National Provider Identifier
1184626467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 007658
- Legal business name
- HOSPICE CARE TEAM, INC
- Practice address
- 107 West Way
Suite 29
Lake Jackson, TX 77566-5238 - Phone
- (979) 297-6043
- Fax
- (979) 297-4752
- NPI assigned
- Jun 1, 2005
- 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
- Deborah K Perryman, LMSW
- Title
- Executive Director
- Phone
- (979) 297-6043
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 007658 | TX | Primary |
Addresses
Primary practice location
107 West Way
Suite 29
Lake Jackson, TX 77566-5238
Mailing address
107 West Way
Suite 29
Lake Jackson, TX 77566-5238
Phone (979) 297-6043
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001003872 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
107 W Way St
Ste 29
Lake Jackson, TX 77566
Phone (979) 297-6043
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Jan 1, 2016 | Change of Ownership | Heart of Texas Hospice |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Community Based Hospice Care Agency
- San Antonio, TX
- NPI 1275999559
Sold to, 2016-01-01
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220400000000",
"number": "1184626467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 WEST WAY",
"address_2": "SUITE 29",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665238",
"telephone_number": "979-297-6043",
"fax_number": "979-297-4752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 WEST WAY",
"address_2": "SUITE 29",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665238",
"telephone_number": "979-297-6043",
"fax_number": "979-297-4752"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPICE CARE TEAM, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-01",
"last_updated": "2008-09-03",
"status": "A",
"authorized_official_last_name": "PERRYMAN",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "979-297-6043",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "TX",
"license": "007658",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001003872",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Jackson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.