NPIMap

Organization Active NPI

Harbor Hospice of Central Houston LP

  • Community Based Hospice Care Agency
  • Houston, TX
National Provider Identifier
1396037693
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HARBOR HOSPICE OF CENTRAL HOUSTON LP
Practice address
11980 Kirby Dr Ste 220
Houston, TX 77045-4860
Phone
(713) 777-5290
Fax
(713) 583-8927
NPI assigned
May 5, 2011
Last updated
Jun 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Authorized official

Name
Karen Carter
Title
Exec Admin Asst
Phone
(409) 730-2046

Specialties & licenses 1

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

Addresses

Primary practice location

11980 Kirby Dr Ste 220
Houston, TX 77045-4860

Mailing address

3406 College St
Suite 200
Beaumont, TX 77701-4612
Phone (409) 813-2332

Other identifiers 2

IdentifierTypeStateIssuer
014160OtherTXTDADS LICENSE
67-1711OtherMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111019000342 TX Part A Provider - Hospice 5890967764 Practice locations: Houston, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396037693. Details of each certification follow.

Hospice certification: CCN 671711

Legal name
HARBOR HOSPICE OF CENTRAL HOUSTON LP
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 14, 2012
Last certification
Feb 11, 2022
Ownership / control type
Proprietary - Partnership
Organization structure
PartnershipProprietary
Incorporated
Apr 27, 2011 in TX
Enrollment address
11980 Kirby Dr
Ste 220
Houston, TX 77045-4860

Care Compare: Hospice

Medicare Care Compare
Listed as
Harbor Hospice of Central Houston, L.P.CCN 671711 · All quality measures
Ownership
Other
Certified
Mar 14, 2012
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

11980 Kirby Dr
Ste 220
Houston, TX 77045
Phone (713) 777-5290

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Karen Carter Individual W-2 Managing Employee Feb 1, 2019
Bryan Gaspard Individual W-2 Managing EmployeeAlternate Director of Nursing Apr 27, 2011
Theresa Cousins Individual W-2 Managing EmployeeAdministrator & Director of Nurs Apr 27, 2011
Arfeen Properties, L.P. Organization, Beaumont, TX 5% Or Greater Direct Ownership Interest Apr 27, 2011 59%
HHCS Managers LLC Organization, Beaumont, TX LLC General Partnership Interest Apr 27, 2011
Qamar U Arfeen Individual 5% Or Greater Indirect Ownership Interest Apr 27, 2011 29.5%
Kelley L Arfeen Individual 5% Or Greater Indirect Ownership Interest Apr 27, 2011 29.5%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 45

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 45

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1396037693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 COLLEGE ST",
            "address_2": "SUITE 200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014612",
            "telephone_number": "409-813-2332",
            "fax_number": "409-838-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11980 KIRBY DR STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770454860",
            "telephone_number": "713-777-5290",
            "fax_number": "713-583-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HOSPICE OF CENTRAL HOUSTON LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "EXEC ADMIN ASST",
        "authorized_official_telephone_number": "409-730-2046"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDADS LICENSE",
            "identifier": "014160",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "67-1711",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.