Organization Active NPI

Benevolent Care Health Services Inc

  • Home Health Agency
  • Katy, TX
National Provider Identifier
1255544284
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
011120 Issued in TX
Legal business name
BENEVOLENT CARE HEALTH SERVICES INC
Practice address
440 Cobia Dr
Suite 403
Katy, TX 77494-6890
Phone
(281) 342-2273
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Authorized official

Name
Mrs. Suellen Anne Carson
Title
Administrator Owner
Phone
(512) 299-2922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 011120 TX Primary

Addresses

Primary practice location

440 Cobia Dr
Suite 403
Katy, TX 77494-6890

Mailing address

440 Cobia Dr
Suite 403
Katy, TX 77494-6890
Phone (281) 342-2273

Other identifiers 1

IdentifierTypeStateIssuer
011120OtherTXLICENSE # DADS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070705000080 TX Part A Provider - Home Health Agency 8022118025 Practice locations: Katy, TX

Home health agency certification: CCN 679773

Legal name
BENEVOLENT CARE HEALTH SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 9, 2008
Last certification
Jan 31, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 16, 2006 in TX
Enrollment address
440 Cobia Dr
Ste 403
Katy, TX 77494-6892

Care Compare: Home health agency

Medicare Care Compare
Listed as
Benevolent Care Health Services IncCCN 679773 ยท All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Apr 9, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

111 Sandra Muraida Way
Unit 100
Austin, TX 78703
Phone (866) 460-0887

440 Cobia Dr
Ste 403
Katy, TX 77494
Phone (281) 342-2273

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Stephen Carson Individual 5% Or Greater Direct Ownership Interest Jan 1, 2012 40%
Suellen Gholson Individual 5% Or Greater Direct Ownership Interest Aug 2, 2006 60%
Corporate OfficerCeo Aug 6, 2006 60%
Corporate DirectorCeo Aug 6, 2006 60%
W-2 Managing EmployeeCeo Aug 6, 2006 60%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1255544284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 COBIA DR",
            "address_2": "SUITE 403",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946890",
            "telephone_number": "281-342-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 COBIA DR",
            "address_2": "SUITE 403",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946890",
            "telephone_number": "281-342-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENEVOLENT CARE HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "SUELLEN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR OWNER",
        "authorized_official_telephone_number": "512-299-2922",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE # DADS",
            "identifier": "011120",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.