Safe Side Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SAFE SIDE HOSPICE INC

Practice address

2522 Shoal Valley LN
Richmond, TX 77469-2669

Phone

(832) 208-4577

NPI assigned

Nov 8, 2021

Last updated

Nov 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Godwin Ugwuoke

Title

Owner

Phone

(832) 208-4577

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770248304. Details of each certification follow.

• CCN A91617 Hospice · Active · Details

Hospice certification: CCN A91617

Legal name

SAFE SIDE HOSPICE INC

Doing business as

SAFE SIDE HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 31, 2022

Last certification

Nov 4, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Nov 4, 2021 in TX

Enrollment address

1560 Live Oak St
Ste B
Webster, TX 77598-4148

Listed as

Safe Side Hospice IncCCN A91617 · All quality measures

Certified

Dec 31, 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 2

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

• Dongning Chen, MD

  • Family Medicine Physician
  • Missouri City, TX
  • NPI 1134392194

  W-2 Managing Employee

  CMS ownership
• Ngozi Ugwuoke, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1295297539

  5% Or Greater Direct Ownership Interest

  CMS ownership

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1770248304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 SHOAL VALLEY LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774692669",
            "telephone_number": "832-208-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2522 SHOAL VALLEY LN",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774692669",
            "telephone_number": "832-208-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE SIDE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-08",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "UGWUOKE",
        "authorized_official_first_name": "GODWIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-208-4577"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadia Mohammad Sadiq
• Safe Comfort Home Care, LLC
• Safe Lite Care Incorporated
• Safe Picc Plus Inc.
• Safe Side Healthcare Services LLC
• Ekta Sagar
• Saint Christinas EMS
• Saint Jude S Healthcare Services LLC
• Saints Healthcare PLLC
• Atiah Salahuddin, OTA

• Community Based Hospice Care Agency in Richmond, TX
• Providers in Richmond, 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 Nov 8, 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.