Relief Hero Palliative Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

RELIEF HERO PALLIATIVE INC

Practice address

2131 Heatherwood Dr
Missouri City, TX 77489-3277

Phone

(844) 489-4376

NPI assigned

May 4, 2021

Organization subpart

No

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

Authorized official

Name

Sydney Oben EbaiNPI 1376422642

Title

Alternate Administrator

Phone

(844) 489-4376

Specialties & licenses 1

Addresses

Other names 1

• Relief Hero Palliative Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN A91548

Legal name

RELIEF HERO PALLIATIVE INC

Doing business as

ETERNAL FAITH HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 18, 2022

Last certification

Apr 1, 2022

Organization structure

CorporationProprietary

Enrollment address

300 Jackson St
Richmond, TX 77469-3109

Listed as

Eternal Faith HospiceCCN A91548

Certified

Apr 18, 2022

Medicare certification status

ActiveFrom the Provider of Services file

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.

Owners & managing parties with NPI records 1

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

• Vijay Korimilli, MD

  • Internal Medicine Physician
  • Sugar Land, TX
  • NPI 1801091384

  W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sydney O Ebai, RN

  • Registered Nurse
  • Washington, DC
  • NPI 1376422642
  NPD Authorized official

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1649853953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 HEATHERWOOD DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774893277",
            "telephone_number": "844-489-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 HEATHERWOOD DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774893277",
            "telephone_number": "844-489-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIEF HERO PALLIATIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "EBAI",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_middle_name": "OBEN",
        "authorized_official_title_or_position": "ALTERNATE ADMINISTRATOR",
        "authorized_official_telephone_number": "844-489-4376"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Relief Hero Palliative Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Relief Hero Palliative Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.

Verify at the official NPI Registry.