Active NPI
Spotlight Hospice Care LLC
- Community Based Hospice Care Agency
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Enrollment address
- 12550 Fuqua St
Ste 200
Houston, TX 77034-4692
Care Compare: Hospice
Medicare Care Compare- Listed as
- Living Hope Hospice
- Ownership
- For-Profit
- Certified
- Dec 7, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Nilesh Vyas | Contracted Managing Employee | Jan 18, 2024 | |
| Latoya Otems | W-2 Managing Employee | Nov 21, 2024 | |
| Tiju Thomas | 5% Or Greater Direct Ownership Interest | Jul 5, 2022 | 50% |
| Corporate Director | Jul 5, 2022 | ||
| W-2 Managing Employee | Jul 5, 2022 | ||
| Julie Thomas | 5% Or Greater Direct Ownership Interest | Jul 5, 2022 | 50% |
| Corporate Director | Jul 5, 2022 | ||
| W-2 Managing Employee | 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.
-
- Internal Medicine Physician
- Webster, TX
- NPI 1104837889
Contracted Managing Employee
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.