NPIMap

Organization Active NPI

Harbor Hospice of Portland, LP

  • Community Based Hospice Care Agency
  • Portland, TX
National Provider Identifier
1245577873
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HARBOR HOSPICE OF PORTLAND, LP
Practice address
1850 Billy G Webb
Portland, TX 78374-3707
Phone
(361) 413-0900
Fax
(361) 704-1596
NPI assigned
Jan 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Authorized official

Name
Karen Carter
Title
Exec Admin Assistant
Phone
(409) 730-2046

Specialties & licenses 1

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

Addresses

Primary practice location

1850 Billy G Webb
Portland, TX 78374-3707

Mailing address

3406 College St
Suite 200
Beaumont, TX 77701-4612
Phone (409) 813-2332

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130315000371 TX Part A Provider - Hospice 0547405730 Practice locations: Portland, TX

Hospice certification: CCN 671784

Legal name
HARBOR HOSPICE OF PORTLAND, LP
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 11, 2013
Last certification
Sep 27, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
OtherProprietary
Incorporated
Jan 14, 2013 in TX
Enrollment address
1850 Billy G Webb
Portland, TX 78374-3707

Care Compare: Hospice

Medicare Care Compare
Listed as
Harbor Hospice of Portland, LPCCN 671784
Ownership
For-Profit
Certified
Nov 11, 2013
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
45D2229257Harbor Hospice of Portland, LP1850 Billy G Webb Drive, Portland, TX 78374Certificate of waiverJul 8, 2027

National Provider Directory

National Provider Directory

Locations

3600 Avenue F
Ste Cd
Bay City, TX 77414
Phone (979) 244-5265

3406 College St
#200
Beaumont, TX 77701
Phone (409) 813-2332

5151 Flynn Pkwy
Ste 406A
Corpus Christi, TX 78411
Phone (361) 933-0101

1850 Billy G Webb
Portland, TX 78374
Phone (361) 413-0900

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Karen Carter Individual W-2 Managing Employee Feb 1, 2019
Arfeen Properties, L.P. Organization, Beaumont, TX 5% Or Greater Direct Ownership Interest Jan 14, 2013 99%
HHCS Managers LLC Organization, Beaumont, TX LLC General Partnership Interest Jan 14, 2013 1%
Qamar U Arfeen Individual 5% Or Greater Indirect Ownership InterestManaging Partner Jan 14, 2013 50%
General Partnership InterestManaging Partner Jan 14, 2013 0.5%
Limited Partnership InterestManaging Partner Jan 14, 2013 49.5%
Operational/Managerial ControlManaging Partner Jan 14, 2013
Kelley L Arfeen Individual 5% Or Greater Indirect Ownership InterestPartner Jan 14, 2013 50%

Owners & managing parties with NPI records 1

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

  • Qamar U Arfeen, M.D.
    • Pulmonary Disease Physician
    • Beaumont, TX
    • NPI 1295738649

    5% Or Greater Indirect Ownership Interest, General Partnership Interest, Limited Partnership Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 45

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 45

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": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1245577873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 COLLEGE ST",
            "address_2": "SUITE 200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014612",
            "telephone_number": "409-813-2332",
            "fax_number": "409-232-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 BILLY G WEBB",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783743707",
            "telephone_number": "361-413-0900",
            "fax_number": "361-704-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HOSPICE OF PORTLAND, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-16",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "EXEC ADMIN ASSISTANT",
        "authorized_official_telephone_number": "409-730-2046"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, TX

Sources for this page

Verify at the official NPI Registry.