NPIMap

Organization Active NPI

Harbor Hospice of Livingston LP

  • Community Based Hospice Care Agency
  • Livingston, TX
National Provider Identifier
1427322254
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HARBOR HOSPICE OF LIVINGSTON LP
Practice address
317 W Church St Ste 112
Livingston, TX 77351-3242
Phone
(936) 327-8010
Fax
(936) 205-1392
NPI assigned
Feb 24, 2012
Last updated
Nov 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Authorized official

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

Specialties & licenses 1

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

Addresses

Primary practice location

317 W Church St Ste 112
Livingston, TX 77351-3242

Mailing address

PO Box 12686
Beaumont, TX 77726-2686
Phone (409) 813-2332

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120816000020 TX Part A Provider - Hospice 5092961540 Practice locations: Livingston, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1427322254. Details of each certification follow.

Hospice certification: CCN 671760

Legal name
HARBOR HOSPICE OF LIVINGSTON LP
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 21, 2013
Last certification
Sep 1, 2022
Ownership / control type
Proprietary - Partnership
Organization structure
OtherProprietary
Incorporated
Feb 1, 2012 in TX
Enrollment address
317 W Church St
Ste 112
Livingston, TX 77351-3242

Care Compare: Hospice

Medicare Care Compare
Listed as
Harbor Hospice of Livingston LPCCN 671760 · All quality measures
Ownership
For-Profit
Certified
May 21, 2013
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

301 Highway 59 Loop S
Ste H
Livingston, TX 77352
Phone (936) 327-0231

Ownership & related parties

All disclosed owners & managing parties 6

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 Corporate OfficerMember Feb 1, 2012
W-2 Managing EmployeeAdministrator Feb 1, 2012
Arfeen Properties, L.P. Organization, Beaumont, TX 5% Or Greater Direct Ownership Interest Feb 1, 2012 99%
HHCS Managers LLC Organization, Beaumont, TX LLC General Partnership Interest Feb 1, 2012 1%
Qamar U Arfeen Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2012 50%
Corporate OfficerPresident Feb 1, 2012
Kelley L Arfeen Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2012 50%

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 5

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": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638144000000",
    "number": "1427322254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12686",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777262686",
            "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": "317 W CHURCH ST STE 112",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773513242",
            "telephone_number": "936-327-8010",
            "fax_number": "936-205-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HOSPICE OF LIVINGSTON LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "K",
        "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": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TX

Sources for this page

Verify at the official NPI Registry.