St Agnes Memorial Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ST AGNES MEMORIAL HOSPICE, INC.

Doing business as

St Agnes Memorial Hospice

Practice address

8826 Wasatch Valley LN
Richmond, TX 77407-2138

Phone

(346) 368-2878

Fax

(830) 376-9050

NPI assigned

Sep 4, 2015

Organization subpart

No

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

Authorized official

Name

Helen A Palmer

Title

Owner

Phone

(346) 368-2878

Specialties & licenses 1

Addresses

Other names 1

• ST AGNES MEMORIAL HOSPICE Doing business as

Listed as

St Agnes Memorial HospiceCCN 741702

Ownership

For-Profit

Certified

Nov 22, 2017

Medicare certification status

ActiveFrom the Provider of Services file

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1295103471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8826 WASATCH VALLEY LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072138",
            "telephone_number": "346-368-2878",
            "fax_number": "830-376-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8826 WASATCH VALLEY LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072138",
            "telephone_number": "346-368-2878",
            "fax_number": "830-376-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST AGNES MEMORIAL HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-368-2878"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST AGNES MEMORIAL HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ST AGNES MEMORIAL HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.