NPIMap

Organization Active NPI

Harbor Hospice of Richmond, LP

  • Community Based Hospice Care Agency
  • Sugar Land, TX
National Provider Identifier
1396091302
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HARBOR HOSPICE OF RICHMOND, LP
Practice address
12808 W Airport Blvd Ste 235
Sugar Land, TX 77478-6185
Phone
(281) 762-0444
Fax
(281) 762-7024
NPI assigned
Jul 27, 2012
Last updated
Feb 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

12808 W Airport Blvd Ste 235
Sugar Land, TX 77478-6185

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121105000047 TX Part A Provider - Hospice 5799936530 Practice locations: Sugar Land, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396091302. Details of each certification follow.

Hospice certification: CCN 671764

Legal name
HARBOR HOSPICE OF RICHMOND, LP
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 23, 2013
Last certification
May 17, 2019
Ownership / control type
Proprietary - Partnership
Organization structure
OtherProprietary
Incorporated
Jul 26, 2012 in TX
Enrollment address
12808 W Airport Blvd
Ste 235
Sugar Land, TX 77478-6185

Care Compare: Hospice

Medicare Care Compare
Listed as
Harbor Hospice of Richmond, LPCCN 671764 · All quality measures
Ownership
For-Profit
Certified
Jun 23, 2013
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1500 Jackson St
Ste 100
Richmond, TX 77469

12808 W Airport Blvd
Ste 235
Sugar Land, TX 77478
Phone (281) 762-0444

Ownership & related parties

All disclosed owners & managing parties 8

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 EmployeeExecutive Administrative Assistant Feb 1, 2019
Bryan Gaspard Individual Corporate OfficerMember Jul 26, 2012
W-2 Managing EmployeeAlt Administrator Jul 26, 2012
Theresa Cousins Individual W-2 Managing EmployeeAd; Jul 26, 2012
Arfeen Properties, L.P. Organization, Beaumont, TX 5% Or Greater Direct Ownership Interest Jul 26, 2012 99%
HHCS Managers LLC Organization, Beaumont, TX LLC General Partnership Interest Jul 26, 2012 1%
Emmanuel Chiwueze Opara Individual Contracted Managing EmployeeMD; Jun 16, 2015
Qamar U Arfeen Individual 5% Or Greater Indirect Ownership InterestPartner Jul 26, 2012 50%
Kelley L Arfeen Individual 5% Or Greater Indirect Ownership Interest Jul 26, 2012 50%

Owners & managing parties with NPI records 2

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 7

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": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1396091302",
    "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": "409-232-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12808 W AIRPORT BLVD STE 235",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774786185",
            "telephone_number": "281-762-0444",
            "fax_number": "281-762-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HOSPICE OF RICHMOND, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "EXEC ADMIN ASSISTANT",
        "authorized_official_telephone_number": "409-730-2046"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.