Active NPI
Benevolent Care Health Services Inc
- Home Health Agency
- Katy, TX
National Provider Identifier
1255544284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 011120
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011120 | Other | TX | LICENSE # DADS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Apr 9, 2008
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Stephen Carson | 5% Or Greater Direct Ownership Interest | Jan 1, 2012 | 40% |
| Suellen Gholson | 5% Or Greater Direct Ownership Interest | Aug 2, 2006 | 60% |
| Corporate Officer | Aug 6, 2006 | 60% | |
| Corporate Director | Aug 6, 2006 | 60% | |
| W-2 Managing Employee | Aug 6, 2006 | 60% |
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Interventional Pain Medicine Physician
- Houston, TX
- NPI 1093940694
Home health agency
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- San Antonio, TX
- NPI 1548273501
Home health agency
-
- Interventional Pain Medicine Physician
- San Antonio, TX
- NPI 1043491970
Home health agency
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.