Cosmos Hospice of Piney Woods, LLC
Organization Active NPI Community Based Hospice Care Agency · Willis, TX
NPI 1295057941 · NPPES record last updated May 15, 2014
Key facts
- NPI
- 1295057941
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- COSMOS HOSPICE OF PINEY WOODS, LLC
- Practice address
- 12947 Lake Conroe Hills Dr
Suite C & D
Willis, TX 77318-5271 - Phone
- (936) 856-6888
- Fax
- (877) 322-3298
- NPI assigned
- Feb 23, 2010
- Organization subpart
- No
Authorized official
- Name
- Mr. Nathan Yap
- Title
- Managing Partner
- Phone
- (936) 856-6888
Member of 1
Change of ownership 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Jul 1, 2018 | Change of Ownership |
Reliant at Home |
National Provider Directory
Locations
12947 Lake Conroe Hills Dr
#C
Willis, TX 77318
Phone (855) 637-4339
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
12947 Lake Conroe Hills Dr
Suite C & D
Willis, TX 77318-5271
Mailing address
12947 Lake Conroe Hills Dr
Suite C & D
Willis, TX 77318-5271
Phone (936) 856-6888
Other names
- Virginia's Hospice
Other providers in Willis, TX
- Casey Jeanne Chisum
- Clark Pharmacy LLC
- Comfort Hands & Nursing LLC
- Community Guided Living 'CGL'
- Conroe Willis Family Medicine PLLC
- Karina Crane
- David Joseph Cruz Crawford
- Kelli Crisp
- Judy S Cuello
- Talin Cusato
All providers in Willis, TX · Community Based Hospice Care Agency in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.