Promedic Hospice Care LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PROMEDIC HOSPICE CARE LLC

Doing business as

Ability Hospice
Promedic Hospice Care

Practice address

857 Tristar Dr # a-3
Webster, TX 77598-1553

Phone

(409) 203-7477

NPI assigned

Apr 7, 2015

Last updated

Apr 27, 2026By 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

Mr. Amir Raza

Title

Administrator

Phone

(832) 245-3635

Specialties & licenses 1

Addresses

Other names 2

• Ability Hospice Doing business as
• PROMEDIC HOSPICE CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780070631. Details of each certification follow.

• CCN 971749 Hospice · Active · Details

Hospice certification: CCN 971749

Legal name

PROMEDIC HOSPICE CARE LLC

Doing business as

ABILITY HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 13, 2021

Last certification

Sep 13, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Enrollment address

857 Tristar Dr
Ste a-3
Webster, TX 77598-1553

Listed as

Ability HospiceCCN 971749 · All quality measures

Ownership

For-Profit

Certified

Sep 13, 2021

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 14

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 6

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

• Roussel Clement, MD

  • Internal Medicine Physician
  • Groves, TX
  • NPI 1710977913

  Contracted Managing Employee

  CMS ownership
• Cyprien L Vertil, MD

  • Nephrology Physician
  • Nederland, TX
  • NPI 1124028816

  Contracted Managing Employee

  CMS ownership
• Gregory A Baird, MD

  • General Practice Physician
  • South Jordan, UT
  • NPI 1902148133

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Jason Williams Crump, PT

  • Physical Therapist
  • Provo, UT
  • NPI 1568599132

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Chad B Fullmer, M.P.T.

  • Physical Therapist
  • Provo, UT
  • NPI 1285760033

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Darin S. McSpadden, OTR

  • Occupational Therapist
  • Provo, UT
  • NPI 1083740658

  5% Or Greater Direct Ownership Interest

  CMS ownership

Affiliated clinicians 1

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

• Roussel Clement, MD

  • Internal Medicine Physician
  • Groves, TX
  • NPI 1710977913

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1780070631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 TRISTAR DR",
            "address_2": "A-3",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775981553",
            "telephone_number": "832-245-3635",
            "fax_number": "281-829-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 TRISTAR DR # A-3",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775981553",
            "telephone_number": "409-203-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDIC HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "RAZA",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "832-245-3635",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ability Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PROMEDIC HOSPICE CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PROMEDIC HOSPICE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nikki Lyn Prieto
• Christina Carol Proctor, DPT
• Progressive Physical Therapy LTD. (Progressive Physical Therapy)
• Prohealth Innovations (Phi)
• Promedic Healthcare Systems Inc (Promedic Home Health Services)
• Promedic Hospice of America, LLC. (Promedic Hospice)
• Christina R Prouhet, RBT
• Psychological Associates of Clear Lake
• Pulmonary and Sleep Physicians of Houston, P.a.
• Pulse Imaging Inc

• Community Based Hospice Care Agency in Webster, TX
• Providers in Webster, 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 Apr 27, 2026; 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.