Organization Active NPI

Reliant Hospice of Houston LLC

  • Community Based Hospice Care Agency
  • The Woodlands, TX
National Provider Identifier
1801388459
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
RELIANT HOSPICE OF HOUSTON LLC
Practice address
19221 I 45 S
Suite 320
The Woodlands, TX 77385-8750
Phone
(855) 637-4339
Fax
(877) 322-3298
NPI assigned
May 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Authorized official

Name
Casey Allen Wilson
Title
VP of Operations
Phone
(936) 856-6888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

19221 I 45 S
Suite 320
The Woodlands, TX 77385-8750

Mailing address

3033 W President George Bush Hwy Ste 150
Plano, TX 75075-5752
Phone (972) 390-7733

Other practice location 1

2325 Timber Shadows Dr Ste B
Kingwood, TX 77339-2028
Phone (936) 856-6888

Other practice location 2

309 Main St
Teague, TX 75860-1621
Phone (855) 605-4549

Other names 1

  • Reliant at Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190522002979 TX Part A Provider - Hospice 8022351618 Practice locations: Livingston, TX; San Antonio, TX; Shenandoah, TX; Teague, TX

Hospice certification: CCN 671512

Legal name
RELIANT HOSPICE OF HOUSTON LLC
Doing business as
RELIANT AT HOME
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 29, 2005
Last certification
May 26, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
19221 I 45 S
Ste 320
Shenandoah, TX 77385-8750

Care Compare: Hospice

Medicare Care Compare
Listed as
Reliant at HomeCCN 671512
Ownership
For-Profit
Certified
Nov 29, 2005
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2037958Reliant Hospice of Houston, LLC19221 I-45 N Ste 320, Shenandoah, TX 77385Certificate of waiverMar 8, 2028

National Provider Directory

National Provider Directory

Locations

6453 Southwest Blvd
Benbrook, TX 76132
Phone (817) 377-0889

2210 N Frazier St
Ste 200
Conroe, TX 77303
Phone (855) 637-4339

4415 W Piedras Dr
Ste 200
San Antonio, TX 78228
Phone (210) 585-6352

19221 I 45 S
Ste 320
Shenandoah, TX 77385
Phone (855) 637-4339

309 Main St
Teague, TX 75860
Phone (855) 605-4549

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
John Boaz Individual 5% Or Greater Indirect Ownership Interest Jul 1, 2018 10%
Merit Mezzanine Fund VI LP Organization, Wilmington, DE Investment firm 5% Or Greater Indirect Ownership Interest Aug 1, 2018 75.3%
Claremont Healthcare Holdings, LLC Organization, Wilmington, DE LLC, Investment firm 5% Or Greater Indirect Ownership Interest Aug 1, 2018 8%
Reliant at Home Midco LLC Organization, Plano, TX LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 5, 2021 100%
Matthew McMurphy Individual Corporate OfficerPresident Jul 1, 2018
Reliant at Home Inc Organization, Plano, TX Corporation, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Apr 5, 2021 100%
Loial Hopsice, LLC Organization, Plano, TX LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Apr 5, 2021 100%
Casey Wilson Individual Corporate OfficerVP of Hospice Operations Feb 1, 2021
W-2 Managing EmployeeAd; Jul 1, 2018
Loial Holdings, LLC Organization, Plano, TX LLC 5% Or Greater Indirect Ownership Interest Apr 5, 2021 100%
Rajesh Singh Individual Corporate OfficerVP & Secretary Jul 1, 2018
Brannon George Individual Contracted Managing EmployeeMD; Jul 25, 2020

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 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Change-of-ownership history 1

DateEventCounterparty
Jul 1, 2018 Change of OwnershipThis provider was the buyer Virginias HospiceCCN 671512, TX, NPI 1295057941

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 8

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": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1801388459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 W PRESIDENT GEORGE BUSH HWY STE 150",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750755752",
            "telephone_number": "972-390-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19221 I 45 S",
            "address_2": "SUITE 320",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773858750",
            "telephone_number": "855-637-4339",
            "fax_number": "877-322-3298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2325 Timber Shadows Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773392028",
            "country_code": "US",
            "telephone_number": "936-856-6888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 Main St",
            "address_purpose": "LOCATION",
            "city": "Teague",
            "state": "TX",
            "postal_code": "758601621",
            "country_code": "US",
            "telephone_number": "855-605-4549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RELIANT HOSPICE OF HOUSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "936-856-6888"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reliant at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.