NPIMap

Organization Active NPI

Harbor Hospice of Longview LP

  • Community Based Hospice Care Agency
  • Longview, TX
National Provider Identifier
1891119608
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HARBOR HOSPICE OF LONGVIEW LP
Practice address
1127 Judson Rd Ste 105
Longview, TX 75601-5184
Phone
(903) 238-8290
Fax
(903) 648-7058
NPI assigned
Feb 13, 2014
Last updated
Jul 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Authorized official

Name
Karen Carter
Title
Exec Admin Assistant
Phone
(409) 730-2046

Specialties & licenses 1

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

Addresses

Primary practice location

1127 Judson Rd Ste 105
Longview, TX 75601-5184

Mailing address

3406 College St
Suite 200
Beaumont, TX 77701-4612
Phone (409) 730-2022

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140912001706 TX Part A Provider - Hospice 9931328523 Practice locations: Longview, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891119608. Details of each certification follow.

Hospice certification: CCN 741609

Legal name
HARBOR HOSPICE OF LONGVIEW LP
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 13, 2015
Last certification
Sep 13, 2018
Ownership / control type
Proprietary - Partnership
Organization structure
PartnershipProprietary
Incorporated
Apr 3, 2014 in TX
Enrollment address
1127 Judson Rd
Ste 105
Longview, TX 75601-5184

Care Compare: Hospice

Medicare Care Compare
Listed as
Harbor Hospice of Longview LPCCN 741609 · All quality measures
Ownership
For-Profit
Certified
Jul 13, 2015
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1127 Judson Rd
Ste 105
Longview, TX 75601
Phone (903) 238-8290

1540 Rice Rd
Ste 100A
Tyler, TX 75703

727 E Front St
Ste 100B
Tyler, TX 75702

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Karen Carter Individual Contracted Managing Employee Feb 1, 2019
W-2 Managing Employee Feb 1, 2019
Bryan Gaspard Individual W-2 Managing Employee Apr 3, 2014
Arfeen Properties, L.P. Organization, Beaumont, TX 5% Or Greater Direct Ownership Interest Apr 3, 2014 99%
HHCS Managers LLC Organization, Beaumont, TX LLC General Partnership Interest Apr 3, 2014 1%
Qamar U Arfeen Individual 5% Or Greater Indirect Ownership Interest Apr 3, 2014 49.5%
Kelley L Arfeen Individual 5% Or Greater Indirect Ownership Interest Apr 3, 2014 49.5%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 45

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 45

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1891119608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 COLLEGE ST",
            "address_2": "SUITE 200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014612",
            "telephone_number": "409-730-2022",
            "fax_number": "409-232-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 JUDSON RD STE 105",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015184",
            "telephone_number": "903-238-8290",
            "fax_number": "903-648-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HOSPICE OF LONGVIEW LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "EXEC ADMIN ASSISTANT",
        "authorized_official_telephone_number": "409-730-2046"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.