Organization Active NPI

Triage Hospice LLC

  • Community Based Hospice Care Agency
  • Houston, TX
National Provider Identifier
1194482893
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
TRIAGE HOSPICE LLC
Practice address
7001 Corporate Dr Ste 229
Houston, TX 77036-5116
Phone
(281) 975-5188
Fax
(281) 975-5158
NPI assigned
Nov 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Authorized official

Name
Rose Marie Uang
Title
Administrator
Phone
(281) 975-5188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

7001 Corporate Dr Ste 229
Houston, TX 77036-5116

Mailing address

7001 Corporate Dr Ste 229
Houston, TX 77036-5116
Phone (281) 975-5188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220310001619 TX Part A Provider - Hospice 9537554415 Practice locations: Houston, TX

Hospice certification: CCN A91547

Legal name
TRIAGE HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 2, 2022
Last certification
Jul 1, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Nov 9, 2021 in TX
Enrollment address
7001 Corporate Dr
Ste 229
Houston, TX 77036-5116

Care Compare: Hospice

Medicare Care Compare
Listed as
Triage Hospice LLCCCN A91547
Certified
Jul 2, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2315052Triage Hospice LLC7001 Corporate Dr Suite 229, Houston, TX 77036Certificate of waiverDec 3, 2026

National Provider Directory

National Provider Directory

Locations

7001 Corporate Dr
Ste 229
Houston, TX 77036
Phone (281) 975-5188

15022 FM 529 Rd
Ste C
Houston, TX 77095
Phone (281) 888-5129

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rose Uang Individual W-2 Managing EmployeeAd; Nov 1, 2024
Fasineh Samura Individual 5% Or Greater Direct Ownership Interest Jan 31, 2022 100%
Corporate DirectorAlt Administrator Jan 31, 2022 100%
W-2 Managing EmployeeAlt Administrator Jan 31, 2022 100%
Rohan Patankar Individual Contracted Managing EmployeeMD; Nov 22, 2024

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731542400000",
    "number": "1194482893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 CORPORATE DR STE 229",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770365116",
            "telephone_number": "281-975-5188",
            "fax_number": "281-975-5158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 CORPORATE DR STE 229",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770365116",
            "telephone_number": "281-975-5188",
            "fax_number": "281-975-5158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAGE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-17",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A",
        "authorized_official_last_name": "UANG",
        "authorized_official_first_name": "ROSE MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-975-5188"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.