NPIMap

Organization Active NPI

Harbor Hospice of Georgetown, LP

  • Community Based Hospice Care Agency
National Provider Identifier
1457692139
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HARBOR HOSPICE OF GEORGETOWN, LP
Practice address
16165 Ranch Road 620 North
Suite a
Austin, TEXAS 78717
UM
Phone
(512) 443-7100
Fax
(512) 443-7109
NPI assigned
Mar 6, 2013
Last updated
Oct 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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 Primary

Addresses

Primary practice location

16165 Ranch Road 620 North
Suite a
Austin, TEXAS 78717
UM

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
O20130905000211 TX Part A Provider - Hospice 7911140231 Practice locations: Austin, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457692139. Details of each certification follow.

Hospice certification: CCN 971790

Legal name
HARBOR HOSPICE OF GEORGETOWN, LP
Doing business as
HARBOR HOSPICE OF GEORGETOWN LP
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 3, 2022
Last certification
May 3, 2022
Ownership / control type
Proprietary - Partnership
Organization structure
PartnershipProprietary
Incorporated
Mar 6, 2013 in TX
Enrollment address
16165 Ranch Road 620 North
Suite a
Austin, TX 78717

Care Compare: Hospice

Medicare Care Compare
Listed as
Beacon Hospice of GeorgetownCCN 971790 · All quality measures
Ownership
For-Profit
Certified
May 3, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

16165 Ranch Road 620 N
Ste A
Austin, TX 78717
Phone (512) 443-7100

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
Theresa Cousins Individual W-2 Managing EmployeeAd; Sep 29, 2023
Arfeen Properties, L.P. Organization, Beaumont, TX 5% Or Greater Direct Ownership Interest Mar 6, 2013 99%
Limited Partnership Interest Mar 6, 2013 99%
HHCS Managers LLC Organization, Beaumont, TX LLC General Partnership Interest Mar 6, 2013 1%
Operational/Managerial Control Mar 6, 2013 1%
Qamar U Arfeen Individual Contracted Managing EmployeeMD; Apr 29, 2025
5% Or Greater Indirect Ownership InterestPartner Mar 6, 2013 50.5%
Limited Partnership InterestPartner Mar 6, 2013 50.5%
Operational/Managerial ControlPartner Mar 6, 2013 50.5%
Kelley L Arfeen Individual 5% Or Greater Indirect Ownership InterestPartner Mar 6, 2013 49.5%
Limited Partnership InterestPartner Mar 6, 2013 49.5%

Owners & managing parties with NPI records 1

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

  • Qamar U Arfeen, M.D.
    • Pulmonary Disease Physician
    • Beaumont, TX
    • NPI 1295738649

    5% Or Greater Indirect Ownership Interest, Contracted Managing Employee, Limited Partnership Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1457692139",
    "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": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "16165 RANCH ROAD 620 NORTH",
            "address_2": "SUITE A",
            "city": "AUSTIN",
            "state": "TEXAS",
            "postal_code": "78717",
            "telephone_number": "512-443-7100",
            "fax_number": "512-443-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HOSPICE OF GEORGETOWN, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.