Active NPI
Peace of Mind Hospice 2, LLC
Doing business as Pom 2
- Community Based Hospice Care Agency
- Humble, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001031941 | Medicaid | TX |
Other names 1
- POM 2
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Ownership
- For-Profit
- Certified
- Nov 1, 2019
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Skyejo Trust | 5% Or Greater Direct Ownership Interest | Jun 2, 2025 | 100% |
| Samantha Reyes | Corporate Officer | Jun 2, 2025 | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.