Organization Active NPI

Spotlight Hospice Care LLC

  • Community Based Hospice Care Agency
  • Houston, TX
National Provider Identifier
1982274437
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SPOTLIGHT HOSPICE CARE LLC
Practice address
12550 Fuqua St Ste 200
Houston, TX 77034-4692
Phone
(281) 922-9200
Fax
(281) 922-9208
NPI assigned
Jun 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Authorized official

Name
Tiju Thomas
Title
Ceo
Phone
(281) 922-9200

Specialties & licenses 1

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

Addresses

Primary practice location

12550 Fuqua St Ste 200
Houston, TX 77034-4692

Mailing address

12550 Fuqua St Ste 200
Houston, TX 77034-4692
Phone (281) 922-9200

Other names 1

  • LIVING HOPE HOSPICE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210924002067 TX Part A Provider - Hospice 1355748880 Practice locations: Houston, TX

Hospice certification: CCN 971715

Legal name
SPOTLIGHT HOSPICE CARE LLC
Doing business as
LIVING HOPE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 7, 2021
Last certification
Dec 7, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
12550 Fuqua St
Ste 200
Houston, TX 77034-4692

Care Compare: Hospice

Medicare Care Compare
Listed as
Living Hope HospiceCCN 971715
Ownership
For-Profit
Certified
Dec 7, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

8303 Southwest Fwy
Ste 500F
Houston, TX 77074
Phone (713) 485-6940

12550 Fuqua St
Ste 200
Houston, TX 77034
Phone (281) 922-9200

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Nilesh Vyas Individual Contracted Managing EmployeeMD; Jan 18, 2024
Latoya Otems Individual W-2 Managing EmployeeAlternate Administrator / Don Nov 21, 2024
Tiju Thomas Individual 5% Or Greater Direct Ownership InterestAdministrator Jul 5, 2022 50%
Corporate DirectorMember Jul 5, 2022
W-2 Managing Employee Jul 5, 2022
Julie Thomas Individual 5% Or Greater Direct Ownership InterestAlternate Supervising Nurse Jul 5, 2022 50%
Corporate DirectorMember Jul 5, 2022
W-2 Managing EmployeeAlternate Supervising Nurse Jul 5, 2022

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

Affiliated clinicians 2

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": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1982274437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12550 FUQUA ST STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344692",
            "telephone_number": "281-922-9200",
            "fax_number": "281-922-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 FUQUA ST STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770344692",
            "telephone_number": "281-922-9200",
            "fax_number": "281-922-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOTLIGHT HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TIJU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-922-9200"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIVING HOPE HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.