Organization Active NPI

Vantage Hospice, LLC

Doing business as Vantage Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Houston, TX
National Provider Identifier
1801539515
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
VANTAGE HOSPICE, LLC
Doing business as
Vantage Palliative Care
Practice address
5718 Westheimer Rd Ste 1650
Houston, TX 77057-5833
Phone
(281) 579-5660
Fax
(281) 579-5661
NPI assigned
Apr 19, 2022
Last updated
Mar 30, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
VANTAGE HOSPICE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Paul Stamatis Jr.
Title
Cfo
Phone
(281) 578-4905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X NU Primary

Addresses

Primary practice location

5718 Westheimer Rd Ste 1650
Houston, TX 77057-5833

Mailing address

5718 Westheimer Rd Ste 1650
Houston, TX 77057-5833
Phone (281) 579-5660

Other names 1

  • Vantage Palliative Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200520002507 TX Part B Supplier - Clinic/Group Practice 8921274861 Receives reassigned benefits from 3 practitioners
1 other NPI on this enrollment
Practice locations: Houston, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Vantage Hospice LLC

Locations

2100 E Villa Maria Rd
Ste 101
Bryan, TX 77802
Phone (979) 321-4008

5718 Westheimer Rd
Ste 1650
Houston, TX 77057
Phone (281) 579-5660

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1801539515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5718 WESTHEIMER RD STE 1650",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575833",
            "telephone_number": "281-579-5660",
            "fax_number": "281-579-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5718 WESTHEIMER RD STE 1650",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575833",
            "telephone_number": "281-579-5660",
            "fax_number": "281-579-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE HOSPICE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VANTAGE HOSPICE, LLC",
        "enumeration_date": "2022-04-19",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "STAMATIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "281-578-4905",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vantage Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vantage Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.