Organization Active NPI

Village Care, LLC.

  • Community Based Hospice Care Agency
  • Houston, TX
National Provider Identifier
1386264208
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Mar 28, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 HospiceCCN A91540 · All quality measures
Certified
Jan 6, 2023
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
45D2237107Village Care LLC9950 Westpark Dr Ste # 424, Houston, TX 77063Certificate of waiverSep 21, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Veronica Degracia Individual 5% Or Greater Direct Ownership InterestDirector of Sales 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 Individual Contracted Managing EmployeeMD; Dec 1, 2025
Dina Soliz Individual 5% Or Greater Direct Ownership InterestDirector of Marketing 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 Individual Contracted Managing EmployeeMD; Sep 1, 2023
Fefi James Individual 5% Or Greater Direct Ownership InterestOwner Jun 6, 2023 40%
5% Or Greater Indirect Ownership InterestAdministrator/ Cfo/ Ceo Aug 31, 2023 40%
Corporate OfficerPresident Sep 20, 2021 40%
Corporate DirectorAdministrator/ Cfo/Ceo Aug 31, 2023 40%
W-2 Managing EmployeeAdministrator/Ceo/ Cfo Aug 31, 2023 40%
Operational/Managerial ControlAdministrator/Cfo/Ceo 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.

Practitioners & affiliated clinicians

Practitioners 1

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

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

Verify at the official NPI Registry.