Kingwood Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

KINGWOOD HOSPICE INC

Practice address

8045 FM 359 Rd S Ste 208
Fulshear, TX 77441-1764

Phone

(800) 684-9284

NPI assigned

Dec 12, 2024

Last updated

Dec 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Fatima Kaduoa, ADMINISTRATOR

Title

Administrator

Phone

(800) 684-9284

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification

Legal name

KINGWOOD HOSPICE INC

Organization structure

CorporationProprietary

Locations

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Hameed Q Ali, D. O.

  • Internal Medicine Physician
  • Temple, TX
  • NPI 1104974955

  W-2 Managing Employee

  CMS ownership

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1871300921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8045 FM 359 RD S STE 208",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411764",
            "telephone_number": "800-684-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 FM 359 RD S STE 208",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411764",
            "telephone_number": "800-684-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGWOOD HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "KADUOA",
        "authorized_official_first_name": "FATIMA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "800-684-9284",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ken Branch and Associates Incorporated (Agape Transportation)
• Sarah Ameen Kesaria, MD
• Yasmin Khalfe, MD
• Kidd ABA
• Kera Kidd
• Adams Majoba Kisomose
• Laura Kmmel
• Jennifer Kong, DDS
• Andrea Marie Krenek, RD
• Christina Dasl Kwon, MD

• Community Based Hospice Care Agency in Fulshear, TX
• Providers in Fulshear, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.