Spectrum Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SPECTRUM HOSPICE, INC.

Practice address

2551 S Shore Blvd Ste a
League City, TX 77573-2979

Phone

(800) 270-7120

NPI assigned

Nov 24, 2017

Organization subpart

No

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

Authorized official

Name

Sylvie Boal

Title

Compliance

Phone

(800) 270-7120

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 971575

Legal name

SPECTRUM HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 10, 2019

Last certification

Oct 11, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Nov 27, 2017 in TX

Enrollment address

2551 South Shore Blvd.
Suite a
League City, TX 77573-2979

Listed as

Spectrum Hospice IncCCN 971575 · All quality measures

Ownership

For-Profit

Certified

Oct 10, 2019

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

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

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• John George Knecht III, MD

  • Medical Oncology Physician
  • Webster, TX
  • NPI 1639360829

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1511481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728345600000",
    "number": "1689188948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2551 S SHORE BLVD STE A",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732979",
            "telephone_number": "800-270-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 S SHORE BLVD STE A",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732979",
            "telephone_number": "800-270-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-24",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A",
        "authorized_official_last_name": "BOAL",
        "authorized_official_first_name": "SYLVIE",
        "authorized_official_title_or_position": "COMPLIANCE",
        "authorized_official_telephone_number": "800-270-7120"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in League City, TX
• Providers in League City, 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 Oct 8, 2024; 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.