NPIMap

Organization Active NPI

Harbor Hospice 26, LP

  • Community Based Hospice Care Agency
  • Lufkin, TX
National Provider Identifier
1669723516
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HARBOR HOSPICE 26, LP
Practice address
402 S John Redditt Dr Ste 203
Lufkin, TX 75904-3128
Phone
(936) 632-5700
Fax
(936) 398-6830
NPI assigned
Oct 1, 2012
Last updated
Oct 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

402 S John Redditt Dr Ste 203
Lufkin, TX 75904-3128

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
O20130122000045 TX Part A Provider - Hospice 6305099565 Practice locations: Lufkin, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669723516. Details of each certification follow.

Hospice certification: CCN 741518

Legal name
HARBOR HOSPICE 26, LP
Doing business as
HARBOR HOSPICE 26 LP
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 2, 2014
Last certification
Nov 19, 2020
Ownership / control type
Proprietary - Partnership
Organization structure
OtherProprietary
Incorporated
Oct 1, 2012 in TX
Enrollment address
402 S John Redditt Dr
Ste 203
Lufkin, TX 75904-3128

Care Compare: Hospice

Medicare Care Compare
Listed as
Harbor Hospice 26 LPCCN 741518 · All quality measures
Ownership
For-Profit
Certified
Jun 2, 2014
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

301 Highway 59 Loop S
Ste H
Livingston, TX 77352
Phone (936) 327-0231

402 S John Redditt Dr
Ste 203
Lufkin, TX 75904
Phone (936) 632-3000

517 Gaslight Blvd
Lufkin, TX 75904
Phone (936) 327-7656

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Pavan Pinnamaneni Individual Contracted Managing EmployeeMD; Dec 10, 2018
Karen Carter Individual W-2 Managing Employee Feb 1, 2019
Bryan Gaspard Individual W-2 Managing EmployeeAdministrator Oct 1, 2012
Arfeen Properties, L.P. Organization, Beaumont, TX 5% Or Greater Direct Ownership Interest Oct 1, 2012 99%
Harbor Hospice 26, LP Organization, Lufkin, TX For-profit Operational/Managerial Control Feb 23, 2018
HHCS Managers LLC Organization, Beaumont, TX LLC General Partnership Interest Oct 1, 2010 1%
Qamar U Arfeen Individual 5% Or Greater Indirect Ownership InterestPartner Oct 1, 2012 50%
Kelley L Arfeen Individual 5% Or Greater Indirect Ownership InterestPartner Oct 1, 2012 50%

Owners & managing parties with NPI records 2

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

Facilities with the same owner 45

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

View all 45

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 5

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": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1669723516",
    "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": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 S JOHN REDDITT DR STE 203",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043128",
            "telephone_number": "936-632-5700",
            "fax_number": "936-398-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HOSPICE 26, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "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": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.