Active NPI
Village Care, LLC.
- Community Based Hospice Care Agency
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- VILLAGE CARE, LLC.
- Doing business as
- VILLAGE CARE HOSPICE
- Practice address
- 9950 Westpark Dr Ste 424
Houston, TX 77063-5271 - Phone
- (833) 556-8773
- Fax
- (833) 666-7325
- NPI assigned
- Apr 21, 2020
- 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. Fefi James
- Title
- Administrator
- Phone
- (833) 556-8773
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
9950 Westpark Dr Ste 424
Houston, TX 77063-5271
Mailing address
9950 Westpark Dr Ste 424
Houston, TX 77063-5271
Phone (833) 556-8773
Other names 1
- VILLAGE CARE HOSPICE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211005000953 | TX | Part A Provider - Hospice | 6305244468 | Practice locations: Houston, TX |
Hospice certification: CCN A91540
- Legal name
- VILLAGE CARE, LLC.
- Doing business as
- VILLAGE CARE HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jan 6, 2023
- Last certification
- Dec 1, 2022
- Ownership / control type
- Proprietary - Other
- Organization structure
- LLC
- Incorporated
- Apr 20, 2020 in TX
- Enrollment address
- 9950 Westpark Dr
Ste 424
Houston, TX 77063-5271
Care Compare: Hospice
Medicare Care Compare- Listed as
- Village Care Hospice
- Certified
- Jan 6, 2023
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2237107 | Village Care LLC | Certificate of waiver | Sep 21, 2027 |
National Provider Directory
National Provider DirectoryLocations
515 N Sam Houston Pkwy E
Ste 420
Houston, TX 77060
9950 Westpark Dr
Ste 424
Houston, TX 77063
Phone (832) 868-5122
Ownership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Veronica Degracia | 5% Or Greater Direct Ownership Interest | Aug 31, 2023 | 25% |
| Corporate Officer | Aug 31, 2023 | 25% | |
| Corporate Director | Aug 31, 2023 | 25% | |
| W-2 Managing Employee | Aug 31, 2023 | 25% | |
| Operational/Managerial Control | Aug 31, 2023 | 25% | |
| Motaz B Ibrahim | Contracted Managing Employee | Dec 1, 2025 | |
| Dina Soliz | 5% Or Greater Direct Ownership Interest | Jun 6, 2023 | 35% |
| Corporate Officer | Aug 31, 2023 | 35% | |
| Corporate Director | Aug 31, 2023 | 35% | |
| W-2 Managing Employee | Aug 31, 2023 | 35% | |
| Operational/Managerial Control | Aug 31, 2023 | 35% | |
| Luther Sintim | Contracted Managing Employee | Sep 1, 2023 | |
| Fefi James | 5% Or Greater Direct Ownership Interest | Jun 6, 2023 | 40% |
| 5% Or Greater Indirect Ownership Interest | Aug 31, 2023 | 40% | |
| Corporate Officer | Sep 20, 2021 | 40% | |
| Corporate Director | Aug 31, 2023 | 40% | |
| W-2 Managing Employee | Aug 31, 2023 | 40% | |
| Operational/Managerial Control | Aug 31, 2023 | 40% |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Richmond, TX
- NPI 1174028039
Contracted Managing Employee
-
- Family Medicine Physician
- Houston, TX
- NPI 1477940856
Contracted Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Richmond, TX
- NPI 1174028039
Affiliated clinicians 3
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": "1587427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711584000000",
"number": "1386264208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9950 WESTPARK DR STE 424",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770635271",
"telephone_number": "833-556-8773",
"fax_number": "833-666-7325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9950 WESTPARK DR STE 424",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770635271",
"telephone_number": "833-556-8773",
"fax_number": "833-666-7325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE CARE, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-21",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A",
"authorized_official_last_name": "JAMES",
"authorized_official_first_name": "FEFI",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "833-556-8773",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "VILLAGE CARE HOSPICE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.