Active NPI
Atwell Hospice & PJ Home Health Service, Inc
- Inpatient Hospice
- Houston, TX
National Provider Identifier
1922560283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Inpatient Hospice
- Legal business name
- ATWELL HOSPICE & PJ HOME HEALTH SERVICE, INC
- Practice address
- 6917 Atwell Dr
Houston, TX 77081-6003 - Phone
- (713) 664-7800
- NPI assigned
- Apr 4, 2019
- 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
- Francisca Ezeani
- Title
- Officer
- Phone
- (832) 763-2946
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Inpatient Hospice | 315D00000X | Primary |
Addresses
Primary practice location
6917 Atwell Dr
Houston, TX 77081-6003
Mailing address
6917 Atwell Dr
Houston, TX 77081-6003
Phone (713) 664-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210908003696 | TX | Part A Provider - Hospice | 3173949385 | Practice locations: Houston, TX |
Hospice certification: CCN A91538
- Legal name
- ATWELL HOSPICE & PJ HOME HEALTH SERVICE, INC
- Doing business as
- PJ HOME HEALTH AND HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Dec 8, 2021
- Last certification
- Nov 18, 2021
- Organization structure
- Corporation
- Incorporated
- Mar 29, 2019 in TX
- Enrollment address
- 6917 Atwell Dr
Houston, TX 77081-6003
Care Compare: Hospice
Medicare Care Compare- Listed as
- PJ Home Health and Hospice
- Certified
- Dec 8, 2021
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2234340 | Atwell Hospice & PJ Home Health Service, Inc | Certificate of waiver | Aug 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
6917 Atwell Dr
Houston, TX 77081
Phone (281) 924-5344
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 |
|---|---|---|---|
| Amuche P Gibson | Corporate Director | Mar 29, 2019 | |
| W-2 Managing Employee | Mar 29, 2019 | 33% | |
| Francisca Nonyelum Ezeani | 5% Or Greater Direct Ownership Interest | Mar 29, 2019 | 100% |
| Corporate Officer | Mar 29, 2019 | 100% | |
| Corporate Director | Mar 29, 2019 | 100% | |
| W-2 Managing Employee | Mar 29, 2019 | 100% | |
| Operational/Managerial Control | Mar 29, 2019 | 100% |
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": "1554336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554336000000",
"number": "1922560283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6917 ATWELL DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770816003",
"telephone_number": "713-664-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6917 ATWELL DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770816003",
"telephone_number": "713-664-7800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATWELL HOSPICE & PJ HOME HEALTH SERVICE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-04",
"last_updated": "2019-04-04",
"status": "A",
"authorized_official_last_name": "EZEANI",
"authorized_official_first_name": "FRANCISCA",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "832-763-2946"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "315D00000X",
"taxonomy_group": "",
"desc": "Hospice, Inpatient",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.