Felica Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FELICA HOSPICE LLC

Practice address

9421 W Sterling Dr
Pearland, TX 77584-8558

Phone

(281) 846-6161

Fax

(281) 846-6118

NPI assigned

Sep 12, 2019

Organization subpart

No

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

Authorized official

Name

Felicia Drake

Title

Owner/Director

Phone

(281) 846-6161

Specialties & licenses 1

Addresses

Other names 1

• Glen Valley Hospice Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 971596

Legal name

FELICA HOSPICE LLC

Doing business as

GLEN VALLEY HOSPICE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 18, 2020

Last certification

May 18, 2020

Ownership / control type

Proprietary - Other

Organization structure

LLCProprietary

Incorporated

Sep 1, 2019 in TX

Enrollment address

9421 W Sterling Dr
Pearland, TX 77584-8558

Listed as

Glen Valley Hospice Care.CCN 971596

Ownership

For-Profit

Certified

May 18, 2020

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 5

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

Owners & managing parties with NPI records 1

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

• Tristan Montrale Washington, M.D.

  • Family Medicine Physician
  • Houston, TX
  • NPI 1790196616

  Contracted Managing Employee

  CMS ownership

Practitioners 1

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

• Tristan Montrale Washington, M.D.

  • Family Medicine Physician
  • Houston, TX
  • NPI 1790196616

  Family Medicine

  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Tristan Montrale Washington, M.D.

  • Family Medicine Physician
  • Houston, TX
  • NPI 1790196616

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1992355820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9421 W STERLING DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848558",
            "telephone_number": "281-846-6161",
            "fax_number": "281-846-6118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9421 W STERLING DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848558",
            "telephone_number": "281-846-6161",
            "fax_number": "281-846-6118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELICA HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "281-846-6161"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glen Valley Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yemi M Fasakin, M.D.
• Carl P Fastabend, MD
• Anna Nicole Fazio, M.S.
• Federal Toxicology LLC
• Federal Toxicology LLC
• Alaysha Ferguson
• Elena Rybalko Fernandez, MED, NCC, LPC-A
• Orlando Fernandez Jr., DC
• Samantha R Fernandez
• Jacarria Ferrell

• All providers in Pearland, TX
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.

Verify at the official NPI Registry.