Organization Active NPI

Connect Care Hospice Inc

  • Community Based Hospice Care Agency
  • Houston, TX
National Provider Identifier
1285393629
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CONNECT CARE HOSPICE INC
Practice address
13700 Veterans Memorial Dr Ste 406
Houston, TX 77014-1026
Phone
(281) 836-5431
NPI assigned
Dec 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Joseph Lacome
Title
Ceo
Phone
(281) 836-5431

Specialties & licenses 1

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

Addresses

Primary practice location

13700 Veterans Memorial Dr Ste 406
Houston, TX 77014-1026

Mailing address

13700 Veterans Memorial Dr Ste 406
Houston, TX 77014-1026

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220527001730 TX Part A Provider - Hospice 5698153948 Practice locations: Houston, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285393629. Details of each certification follow.

Hospice certification: CCN A91552

Legal name
CONNECT CARE HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 31, 2022
Last certification
Oct 18, 2022
Organization structure
CorporationProprietary
Incorporated
Dec 3, 2021 in TX
Enrollment address
13700 Veterans Memorial Dr
Ste 406
Houston, TX 77014-1026

Care Compare: Hospice

Medicare Care Compare
Listed as
Connect Care Hospice IncCCN A91552 · All quality measures
Certified
Oct 31, 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
45D2265625Connect Care Hospice Inc13700 Veterans Memorial Dr, Suite 406, Houston, TX 77014Certificate of waiverAug 17, 2027

National Provider Directory

National Provider Directory

Locations

13700 Veterans Memorial Dr
Ste 406
Houston, TX 77014
Phone (281) 836-5431

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
Joseph Lacome Individual 5% Or Greater Direct Ownership InterestOwner/Ceo/President Sep 20, 2023 100%
Corporate OfficerOwner/Ceo/President Sep 20, 2023 100%
Corporate DirectorOwner/Ceo/President Sep 20, 2023 100%
Operational/Managerial ControlOwner/Ceo/President Sep 20, 2023 100%
Jeffrey Obial Individual W-2 Managing EmployeeAd; Sep 20, 2023
Hoang-Chuong Nguyen N Vu Individual Contracted Managing EmployeeMD; Sep 20, 2023

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": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1285393629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13700 VETERANS MEMORIAL DR STE 406",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 VETERANS MEMORIAL DR STE 406",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141026",
            "telephone_number": "281-836-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT CARE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "LACOME",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-836-5431"
    },
    "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.