Active NPI
DN Palliative Hospice LLC
- Community Based Hospice Care Agency
- Stafford, TX
National Provider Identifier
1427628429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- DN PALLIATIVE HOSPICE LLC
- Practice address
- 11104 W Airport Blvd Ste 115
Stafford, TX 77477-3016 - Phone
- (281) 888-5129
- NPI assigned
- Jun 30, 2021
- 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
- Michael Ofoefule
- Title
- Alt. Administrator
- Phone
- (281) 888-5129
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
11104 W Airport Blvd Ste 115
Stafford, TX 77477-3016
Mailing address
11104 W Airport Blvd Ste 115
Stafford, TX 77477-3016
Phone (281) 888-5129
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220718002940 | TX | Part A Provider - Hospice | 5597146886 | Practice locations: Stafford, TX |
Hospice certification: CCN A91511
- Legal name
- DN PALLIATIVE HOSPICE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Sep 9, 2022
- Last certification
- Sep 9, 2022
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Enrollment address
- 11104 W Airport Blvd
Ste 115
Stafford, TX 77477-3016
Care Compare: Hospice
Medicare Care Compare- Listed as
- DN Palliative Hospice LLC
- Certified
- Sep 9, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
15020 FM 529 Rd
Ste 202
Houston, TX 77095
Phone (281) 888-5129
1225 N Logan St
Ste 300
Texas City, TX 77590
Phone (281) 888-5129
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Nina Olugu | 5% Or Greater Direct Ownership Interest | Sep 9, 2021 | |
| W-2 Managing Employee | Sep 9, 2021 | ||
| Remy W Zockazock | Contracted Managing Employee | Nov 5, 2024 | |
| Darlington Ofoefule | 5% Or Greater Direct Ownership Interest | Sep 9, 2021 | 100% |
| Corporate Director | Sep 9, 2021 | 100% | |
| W-2 Managing Employee | Sep 9, 2021 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Katy, TX
- NPI 1215381900
Contracted Managing Employee
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744588800000",
"number": "1427628429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11104 W AIRPORT BLVD STE 115",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774773016",
"telephone_number": "281-888-5129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11104 W AIRPORT BLVD STE 115",
"city": "STAFFORD",
"state": "TX",
"postal_code": "774773016",
"telephone_number": "281-888-5129"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DN PALLIATIVE HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-30",
"last_updated": "2025-04-14",
"certification_date": "2025-04-14",
"status": "A",
"authorized_official_last_name": "OFOEFULE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "ALT. ADMINISTRATOR",
"authorized_official_telephone_number": "281-888-5129"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.