Organization Active NPI

Golden Hospice and Palliative Care, Inc.

  • Community Based Hospice Care Agency
  • Katy, TX
National Provider Identifier
1952995607
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GOLDEN HOSPICE AND PALLIATIVE CARE, INC.
Practice address
633 E Fernhurst Dr Ste 502
Katy, TX 77450-1589
Phone
(346) 640-4353
NPI assigned
Feb 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Authorized official

Name
Johnson Ambroise
Title
Administrator
Phone
(346) 640-4353

Specialties & licenses 1

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

Addresses

Primary practice location

633 E Fernhurst Dr Ste 502
Katy, TX 77450-1589

Mailing address

633 E Fernhurst Dr Ste 502
Katy, TX 77450-1589
Phone (346) 640-4353

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210503002580 TX Part A Provider - Hospice 2961811948 Practice locations: Katy, TX

Hospice certification: CCN 971734

Legal name
GOLDEN HOSPICE AND PALLIATIVE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 20, 2021
Last certification
Sep 20, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Mar 1, 2021 in TX
Enrollment address
633 E Fernhurst Dr
Ste 502
Katy, TX 77450-1589

Care Compare: Hospice

Medicare Care Compare
Listed as
Golden Hospice and Palliative Care, Inc.CCN 971734
Ownership
For-Profit
Certified
Sep 20, 2021
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
45D2221935Golden Hospice and Palliative Care Inc633 E Fernhurst Dr Ste 502, Katy, TX 77450Certificate of waiverApr 25, 2027

National Provider Directory

National Provider Directory

Locations

633 E Fernhurst Dr
Ste 502
Katy, TX 77450
Phone (346) 640-4353

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.

NameRoleSinceShare
Misbah Aslam Kalair Individual Contracted Managing EmployeeMedical Director Mar 26, 2024
Rodney Norvil Individual 5% Or Greater Direct Ownership InterestOwner Aug 1, 2022 100%
Corporate DirectorDirector Aug 1, 2022 50%
W-2 Managing EmployeeAdministrator Aug 1, 2022 50%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1952995607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 E FERNHURST DR STE 502",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501589",
            "telephone_number": "346-640-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 E FERNHURST DR STE 502",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501589",
            "telephone_number": "346-640-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HOSPICE AND PALLIATIVE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "AMBROISE",
        "authorized_official_first_name": "JOHNSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "346-640-4353"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.