Wilmington Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

WILMINGTON HOSPICE INC

Practice address

2922 Rosedale St # 1300
Houston, TX 77004-6188

Phone

(409) 781-9221

NPI assigned

Jul 30, 2021

Organization subpart

No

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

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN A91509

Legal name

WILMINGTON HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 30, 2022

Last certification

Mar 30, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jul 23, 2021 in TX

Enrollment address

2922 Rosedale St
Houston, TX 77004-6188

Listed as

Four Pillars HospiceCCN A91509 · All quality measures

Certified

Mar 30, 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.

• Luther Sintim, M.D.

  • Family Medicine Physician
  • Houston, TX
  • NPI 1477940856

  Contracted 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.

• Eberenne F Igbokwe, D.O.

  • Geriatric Medicine (Family Medicine) Physician
  • Pearland, TX
  • NPI 1003102732
  NPD (past)

Affiliated clinicians 1

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

• Bishnu Hari Sapkota, M.D

  • Neurology Physician
  • Granbury, TX
  • NPI 1679702872

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1740953173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 ROSEDALE ST # 1300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770046188",
            "telephone_number": "409-781-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 ROSEDALE ST # 1300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770046188",
            "telephone_number": "409-781-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMINGTON HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "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": []
}

• Jaxson Cole Willson
• Pamela Ann Willson, PHD RN FNP-BC
• Wilmar Healthcare Systems, Inc.
• Connie Wilmeth
• Samantha Wilmeth, FNP-C
• Heather Michele Wilmore, DDS
• Max Wilmot, PHYSICIAN ASSISTANT
• Wilner E Jeudy M.D,P.a
• Imaniece Lavan Wilridge
• Lisa Danielle Wilsford, PA-C

• Community Based Hospice Care Agency in Houston, TX
• Providers in Houston, 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 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.

Verify at the official NPI Registry.