Fordgrove Healthcare LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FORDGROVE HEALTHCARE LLC

Doing business as

The Grove Care Centers of America

Practice address

8822 Creeping Vine LN
Houston, TX 77088-3426

Phone

(832) 304-7161

NPI assigned

Oct 13, 2021

Last updated

Oct 13, 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

Barbara F Myles

Title

Owner

Phone

(832) 304-7161

Specialties & licenses 1

Addresses

Other names 1

• The Grove Care Centers of America 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 1790447134. Details of each certification follow.

• CCN A91641 Hospice · Active · Details

Hospice certification: CCN A91641

Legal name

FORDGROVE HEALTHCARE LLC

Doing business as

THE GROVE CARE CENTERS OF AMERICA

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 29, 2023

Last certification

Sep 14, 2023

Organization structure

LLCProprietary

Incorporated

Dec 7, 2020 in TX

Enrollment address

4606 FM 1960 Rd W
Ste 610
Houston, TX 77069-4600

Listed as

The Grove Care Centers of AmericaCCN A91641 · All quality measures

Certified

Sep 29, 2023

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 2

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

Affiliated clinicians 3

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

• Waleed Mahmoud, D.O.

  • Family Medicine Physician
  • Athens, TX
  • NPI 1366447062

  Hospice

  Care Compare affiliation
• Clyde McMorris Jr.

  • Family Medicine Physician
  • Houston, TX
  • NPI 1528010519

  Hospice

  Care Compare affiliation
• Michael Swartwood, D.O.

  • Family Medicine Physician
  • Athens, TX
  • NPI 1487883153

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1790447134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8822 CREEPING VINE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770883426",
            "telephone_number": "832-304-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8822 CREEPING VINE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770883426",
            "telephone_number": "832-304-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORDGROVE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "MYLES",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-304-7161"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Grove Care Centers of America",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Tyler Ford, D.C.
• Tenaka Y Ford, CSA
• Yolande Ford, LPC
• Janique Iona Forde, PNP
• Ka-Tianna Forde, M.A.,BCABA
• Mollie C Fordham, PA-C
• Paul Wycliff Fordjour, LMFT
• Forefront Dermatology - Houston, PLLC (Advanced Dermatology, A Forefront Dermatology Practice)
• Forefront Dermatology, S.C. (dba Advanced Dermatology, A Forefront Dermatology Practice)
• Alexandra Forejt

• 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 Oct 13, 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.