Primic Palliative Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PRIMIC PALLIATIVE HOSPICE CARE INC

Practice address

11104 W Airport Blvd Ste 215C
Stafford, TX 77477-3035

Phone

(240) 547-8312

NPI assigned

Aug 31, 2022

Organization subpart

No

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

Authorized official

Name

Priscilla Omoleme

Title

Ceo

Phone

(240) 547-8312

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN A91776

Legal name

PRIMIC PALLIATIVE HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 29, 2025

Last certification

Jun 30, 2025

Organization structure

CorporationProprietary

Enrollment address

6776 Southwest Fwy
Ste 631
Houston, TX 77074-2107

Listed as

Primic Palliative Hospice Care IncCCN A91776

Certified

May 29, 2025

Medicare certification status

ActiveFrom the Provider of Services file

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.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Karen X Thampoe, M.D.

  • Internal Medicine Physician
  • Katy, TX
  • NPI 1750390092

  Contracted Managing Employee, W-2 Managing Employee

  CMS ownership
• Priscilla A Timoh, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, TX
  • NPI 1043554991

  5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Priscilla A Timoh, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, TX
  • NPI 1043554991
  NPD

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1194445973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11104 W AIRPORT BLVD STE 215C",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 W AIRPORT BLVD STE 215C",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773035",
            "telephone_number": "240-547-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMIC PALLIATIVE HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-31",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "OMOLEME",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-547-8312"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pri-Med Family Clinic & Wellness Center
• Latanya K Price
• Alex D Priester, LCDC
• Prima Medical Group PLLC
• Prime Occ, PLLC
• Primus EMS Inc
• Priority Ambulance Transfer LLC
• Judd Michael Prioux, LVN
• Pro Ambulance Service Inc.
• Pro Diagnostic Inc.

• Community Based Hospice Care Agency in Stafford, TX
• Providers in Stafford, 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 Apr 18, 2023; 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.