Organization Active NPI

Harbor Hospice of East Houston, LP

  • Community Based Hospice Care Agency
  • Kingwood, TX
National Provider Identifier
1760733604
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HARBOR HOSPICE OF EAST HOUSTON, LP
Practice address
800 Rockmead Dr Ste 120
Kingwood, TX 77339-2151
Phone
(936) 441-5500
Fax
(936) 756-5591
NPI assigned
Oct 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 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

800 Rockmead Dr Ste 120
Kingwood, TX 77339-2151

Mailing address

3406 College St Ste 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
O20130222000142 TX Part A Provider - Hospice 2567617632 Practice locations: Kingwood, TX

Hospice certification: CCN 741526

Legal name
HARBOR HOSPICE OF EAST HOUSTON, LP
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 25, 2013
Last certification
Oct 31, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
OtherProprietary
Incorporated
Oct 1, 2012 in TX
Enrollment address
800 Rockmead Dr
Ste 120
Kingwood, TX 77339-2151

Care Compare: Hospice

Medicare Care Compare
Listed as
Harbor Hospice of East Houston, L.P.CCN 741526
Ownership
For-Profit
Certified
Oct 25, 2013
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1600 James Bowie Dr
#D112
Baytown, TX 77520
Phone (409) 813-2332

800 Rockmead Dr
Ste 120
Kingwood, TX 77339
Phone (281) 973-8410

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Karen Carter Individual W-2 Managing Employee Feb 1, 2019
Bryan Gaspard Individual W-2 Managing EmployeeAlt. Administrator Oct 1, 2012
Theresa Cousins Individual W-2 Managing EmployeeAdministrator and Don Oct 1, 2012
Arfeen Properties, L.P. Organization, Beaumont, TX 5% Or Greater Direct Ownership Interest Oct 1, 2012 99%
HHCS Managers LLC Organization, Beaumont, TX LLC General Partnership Interest Oct 1, 2012 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 1

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

Affiliated clinicians 3

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": "1653436800000",
    "number": "1760733604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 COLLEGE ST STE 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": "800 ROCKMEAD DR STE 120",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392151",
            "telephone_number": "936-441-5500",
            "fax_number": "936-756-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HOSPICE OF EAST HOUSTON, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "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 Kingwood, TX

Sources for this page

Verify at the official NPI Registry.