Organization Active NPI

Peace of Mind Hospice 2, LLC

Doing business as Pom 2

  • Community Based Hospice Care Agency
  • Humble, TX
National Provider Identifier
1871098889
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PEACE OF MIND HOSPICE 2, LLC
Doing business as
Pom 2
Practice address
19279 McKay Dr # 808
Humble, TX 77338-5502
Phone
(832) 617-2718
Fax
(713) 583-8124
NPI assigned
Mar 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
David Redman
Title
Cfo
Phone
(832) 545-8553

Specialties & licenses 1

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

Addresses

Primary practice location

19279 McKay Dr # 808
Humble, TX 77338-5502

Mailing address

19279 McKay Dr # 808
Humble, TX 77338-5502
Phone (832) 617-2718

Other identifiers 1

IdentifierTypeStateIssuer
001031941MedicaidTX

Other names 1

  • POM 2 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190627000449 TX Part A Provider - Hospice 2769716695 Practice locations: Humble, TX

Hospice certification: CCN 971546

Legal name
PEACE OF MIND HOSPICE 2 LLC
Doing business as
SKYE HOSPICE 5 LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 1, 2019
Last certification
Nov 1, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Feb 13, 2018 in TX
Enrollment address
19279 McKay Dr
Ste 806
Humble, TX 77338-5502

Care Compare: Hospice

Medicare Care Compare
Listed as
Skye Hospice 5 LLCCCN 971546 ยท All quality measures
Ownership
For-Profit
Certified
Nov 1, 2019
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

19279 McKay Dr
#808
Humble, TX 77338
Phone (832) 617-2718

19279 McKay Dr
Ste 806
Humble, TX 77338
Phone (832) 617-2718

1840 Lockhill Selma Rd
Ste 103G
San Antonio, TX 78213

1844 Lockhill Selma Rd
Ste 101G
San Antonio, TX 78213

Ownership & related parties

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.

NameRoleSinceShare
Skyejo Trust Organization, Boerne, TX Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 2, 2025 100%
Samantha Reyes Individual Corporate OfficerCeo Jun 2, 2025
W-2 Managing EmployeeAd; Jun 2, 2025

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1871098889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19279 MCKAY DR # 808",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385502",
            "telephone_number": "832-617-2718",
            "fax_number": "713-583-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19279 MCKAY DR # 808",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385502",
            "telephone_number": "832-617-2718",
            "fax_number": "713-583-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACE OF MIND HOSPICE 2, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "REDMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "832-545-8553"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001031941",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POM 2",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "POM 2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.