Active NPI
Vantage Hospice, LLC
Doing business as Vantage Palliative Care
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) Physician
- 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, 2023
- Organization subpart
- Yes
- Parent organization
- VANTAGE HOSPICE, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
dba Vantage Hospice
- Community Based Hospice Care Agency
- Houston, TX
- NPI 1962785782
8921274861
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Vantage Hospice
- Community Based Hospice Care Agency
- Houston, TX
- NPI 1962785782
O20200520002507
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.
-
dba Vantage Hospice
- Community Based Hospice Care Agency
- Houston, TX
- NPI 1962785782
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.
-
- Gerontology Nurse Practitioner
- Conroe, TX
- NPI 1801975230
-
- Family Nurse Practitioner
- Katy, TX
- NPI 1639582646
-
- Family Nurse Practitioner
- Katy, TX
- NPI 1598392904
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.