Imperial Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

IMPERIAL HOSPICE, LLC

Doing business as

River City Hospice

Practice address

1950 9TH Ave
Port Arthur, TX 77642-2774

Phone

(409) 833-2800

Fax

(409) 838-1152

NPI assigned

Aug 17, 2011

Last updated

Dec 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Janet R Montagne

Title

Ceo

Phone

(409) 201-9655

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• River City Hospice Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Burch-Garrett Enterprises, Inc

  dba Best Hospice Care of Texas

  • Community Based Hospice Care Agency
  • Beaumont, TX
  • NPI 1093161085

  Sold to, 2016-07-25

  CMS change of ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1447530886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20595",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77720",
            "telephone_number": "409-833-2800",
            "fax_number": "409-838-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 9TH AVE",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776422774",
            "telephone_number": "409-833-2800",
            "fax_number": "409-838-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-17",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "MONTAGNE",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-201-9655",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001021090",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "67-1717",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River City Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eustacia O Hudson-Wagner
• Hina Sikandar Hussain, NP
• Ernest Clayton Hymel, M.D., PH.D
• I.M. Quality Assisting
• John A. Iceton, M.D.
• Infinite Care Solutions LLC
• Eldridge Inman
• Inpatient Consultants of Texas, PLLC
• Trisha Renee Irwin, OTR/L
• Mohammed Amirul Islam, MD

• Community Based Hospice Care Agency in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.