NPIMap

Organization Active NPI

Hospice Care Team, Inc

Doing business as Hospice Care Team

  • Community Based Hospice Care Agency
  • Beaumont, TX
National Provider Identifier
1932696572
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
017523 Issued in TX
Legal business name
HOSPICE CARE TEAM, INC
Doing business as
Hospice Care Team
Practice address
2390 Eastex Fwy
Beaumont, TX 77703-4638
Phone
(409) 832-3311
Fax
(409) 832-3312
NPI assigned
Apr 19, 2018
Last updated
Sep 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Authorized official

Name
Jason Bootz
Title
Authorized Official
Phone
(830) 730-7711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 017523 TX Primary

Addresses

Primary practice location

2390 Eastex Fwy
Beaumont, TX 77703-4638

Mailing address

18568 Forty Six Pkwy Ste 2001
Spring Branch, TX 78070-6878
Phone (830) 730-7711

Other practice location 1

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

Other names 1

  • Hospice Care Team Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180620003224 TX Part A Provider - Hospice 1658530860 Practice locations: Beaumont, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932696572. Details of each certification follow.

Hospice certification: CCN 671656

Legal name
HOSPICE CARE TEAM, INC.
Doing business as
HOSPICE CARE TEAM
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 19, 2010
Last certification
Apr 27, 2022
Ownership / control type
Proprietary - Other
Organization structure
CorporationNon-profit
Incorporated
May 22, 1981 in TX
Enrollment address
2390 Eastex Fwy
Beaumont, TX 77703-4638

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 TeamCCN 671656 · All quality measures
Ownership
For-Profit
Certified
Jul 19, 2010
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2006201Hospice Care Team, Inc2390 Eastex Freeway, Beaumont, TX 77703Certificate of waiverApr 13, 2028

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.

Locations

2390 Eastex Fwy
Beaumont, TX 77703
Phone (409) 832-3311

1708 N Amburn Rd
Ste C
Texas City, TX 77591
Phone (409) 938-0070

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, Beaumont, TX Corporation, Non-profit Operational/Managerial Control Mar 31, 2018 100%
Gregory Hamilton Taylor Individual Corporate DirectorBoard Member Apr 1, 2018 25%
Darran Dollarhide Individual Corporate OfficerBoard Member Apr 1, 2018 25%
Operational/Managerial ControlAdmin Mar 31, 2018
Jason Bootz Individual Corporate OfficerBoard Member Apr 1, 2018 25%
Operational/Managerial ControlAdmin Apr 1, 2018
Joe Chapman Individual Contracted Managing EmployeeAd; Apr 1, 2018 25%
Chad W Hammett Individual Contracted Managing EmployeeMD; Nov 15, 2016

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 Team, Inc.Texas City, TX, CCN 451508 Hospice Operational/Managerial Control Mar 24, 2011

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.

Change-of-ownership history 1

DateEventCounterparty
Mar 31, 2018 Change of OwnershipThis provider was the buyer Heart of Texas HospiceCCN 671656, TX, NPI 1821446139

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 9

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": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1932696572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18568 FORTY SIX PKWY STE 2001",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706878",
            "telephone_number": "830-730-7711",
            "fax_number": "210-568-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 EASTEX FWY",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777034638",
            "telephone_number": "409-832-3311",
            "fax_number": "409-832-3312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11441 32nd Ave N Ste B",
            "address_purpose": "LOCATION",
            "city": "Texas City",
            "state": "TX",
            "postal_code": "775912200",
            "country_code": "US",
            "telephone_number": "409-938-0070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOSPICE CARE TEAM, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "BOOTZ",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "830-730-7711"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "017523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice Care Team",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.