Organization Active NPI

Hospice Care Team, Inc

  • Community Based Hospice Care Agency
  • Texas City, TX
National Provider Identifier
1891798120
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE CARE TEAM, INC
Practice address
11441 32ND Ave N Ste B
Texas City, TX 77591-2200
Phone
(409) 938-0070
Fax
(409) 316-9575
NPI assigned
May 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Jason Bootz
Title
Board Member
Phone
(830) 730-7711

Specialties & licenses 1

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

Addresses

Primary practice location

11441 32ND Ave N Ste B
Texas City, TX 77591-2200

Mailing address

11441 32ND Ave N Ste B
Texas City, TX 77591-2200
Phone (409) 938-0070

Other identifiers 1

IdentifierTypeStateIssuer
000200700MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120430000567 TX Part A Provider - Hospice 1658530860 Practice locations: Texas City, TX

Hospice certification: CCN 451508

Legal name
HOSPICE CARE TEAM, INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 30, 1985
Last certification
Nov 20, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationNon-profit
Incorporated
May 22, 1981 in TX
Enrollment address
11441 32ND Ave N
Ste B
Texas City, TX 77591-2200

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice Care Team IncCCN 451508
Ownership
Other
Certified
Aug 30, 1985
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Galveston Hospice Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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
Hospice Care Team, Inc. Organization, Texas City, TX Non-profit Operational/Managerial Control Mar 24, 2011
Gregory Hamilton Taylor Individual Corporate OfficerTreasurer Apr 1, 2018 25%
Darran Dollarhide Individual Contracted Managing Employee Mar 1, 2016 8%
Corporate DirectorBoard Member Mar 1, 2016 25%
Jason Bootz Individual Corporate OfficerPresident & Chairman Apr 1, 2018 25%
Joe Chapman Individual Corporate OfficerVice Chairman Apr 1, 2018 25%
Paul H Wells Individual Contracted Managing EmployeeMD; Jun 1, 2017

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Hospice Care TeamBeaumont, TX, CCN 671656 Hospice Operational/Managerial Control (100%) Mar 31, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1891798120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11441 32ND AVE N STE B",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912200",
            "telephone_number": "409-938-0070",
            "fax_number": "409-316-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11441 32ND AVE N STE B",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775912200",
            "telephone_number": "409-938-0070",
            "fax_number": "409-316-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE CARE TEAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "BOOTZ",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "830-730-7711"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000200700",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

Verify at the official NPI Registry.