Organization Active NPI

Promedic Hospice of America, LLC.

Doing business as Promedic Hospice

  • Community Based Hospice Care Agency
  • Webster, TX
National Provider Identifier
1295156727
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PROMEDIC HOSPICE OF AMERICA, LLC.
Doing business as
Promedic Hospice
Practice address
857 Tristar Drive Ste a-2
Webster, TX 77598
Phone
(818) 294-3032
Fax
(281) 829-4267
NPI assigned
Dec 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Authorized official

Name
Mr. Amir Raza
Title
Administrator/Owner
Phone
(832) 245-3635

Specialties & licenses 1

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

Addresses

Primary practice location

857 Tristar Drive Ste a-2
Webster, TX 77598

Mailing address

857 Tristar Drive Ste a-2
Webster, TX 77598
Phone (832) 245-3635

Other names 1

  • PROMEDIC HOSPICE Doing business as

National Provider Directory

National Provider Directory

Locations

857 Tristar Dr
Ste A2
Webster, TX 77598
Phone (818) 294-3032

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1388448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1295156727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 TRISTAR DRIVE STE A-2",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "77598",
            "telephone_number": "832-245-3635",
            "fax_number": "281-829-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 TRISTAR DRIVE STE A-2",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "77598",
            "telephone_number": "818-294-3032",
            "fax_number": "281-829-4267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDIC HOSPICE OF AMERICA, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-31",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "RAZA",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "832-245-3635",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROMEDIC HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PROMEDIC HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Webster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.