Active NPI
Distinguished Hospice Inc
- Community Based Hospice Care Agency
- Houston, TX
National Provider Identifier
1518633973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- DISTINGUISHED HOSPICE INC
- Practice address
- 2922 Rosedale St Ste 1340
Houston, TX 77004-6188 - Phone
- (713) 874-1234
- Fax
- (713) 521-1277
- NPI assigned
- Aug 17, 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
- Jennifer Roy
- Title
- Administrator
- Phone
- (832) 549-0994
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
2922 Rosedale St Ste 1340
Houston, TX 77004-6188
Mailing address
2922 Rosedale St Ste 1340
Houston, TX 77004-6188
Phone (713) 874-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220527002121 | TX | Part A Provider - Hospice | 7517345879 | Practice locations: Houston, TX |
Hospice certification: CCN A91574
- Legal name
- DISTINGUISHED HOSPICE, INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 12, 2022
- Last certification
- Oct 12, 2022
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Dec 31, 2021 in TX
- Enrollment address
- 9950 Westpark Dr
Ste 424
Houston, TX 77063-5271
Care Compare: Hospice
Medicare Care Compare- Listed as
- Distinguished Hospice, Inc
- Certified
- Oct 12, 2022
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2261919 | Distinguished Hospice Inc | Certificate of waiver | Jun 6, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 5
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 |
|---|---|---|---|
| Veronica Degracia | 5% Or Greater Direct Ownership Interest | Oct 1, 2025 | 25% |
| Corporate Director | Oct 1, 2025 | 25% | |
| Dina Soliz | 5% Or Greater Direct Ownership Interest | Oct 1, 2025 | 25% |
| Corporate Director | Oct 1, 2025 | 25% | |
| Nwanneoma Patricia Ndubisi | 5% Or Greater Direct Ownership Interest | Apr 22, 2025 | 12.5% |
| Corporate Director | Apr 22, 2025 | 12.5% | |
| Luther Sintim | W-2 Managing Employee | Aug 15, 2025 | |
| Fefi James | 5% Or Greater Direct Ownership Interest | Oct 1, 2025 | 37.5% |
| Corporate Director | Oct 1, 2025 | 37.5% | |
| W-2 Managing Employee | Oct 1, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1629158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647302400000",
"number": "1518633973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2922 ROSEDALE ST STE 1340",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770046188",
"telephone_number": "713-874-1234",
"fax_number": "713-521-1277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2922 ROSEDALE ST STE 1340",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770046188",
"telephone_number": "713-874-1234",
"fax_number": "713-521-1277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DISTINGUISHED HOSPICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-17",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A",
"authorized_official_last_name": "ROY",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "832-549-0994"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.