CAPSTONE HOSPICE
NPI 1114515657
Hospice Care, Community Based in Jersey Village, TX

NPI Status: Active since January 08, 2021

Contact Information

17347 VILLAGE GREEN DR STE 109
JERSEY VILLAGE, TX
ZIP 77040
Phone: (281) 204-2695
Fax: (281) 204-2917

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  • Organization
  • Hospice Care, Community Based
  • CLIA Number: 45D2289756
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 09-13-2027

About CAPSTONE HOSPICE

This page provides the complete NPI Profile along with additional information for Capstone Hospice, a provider established in Jersey Village, Texas operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1114515657 assigned on January 2021. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Capstone Hospice. The authorized official of this NPI record is David Gober (Director)

NPI
1114515657
Provider Legal Name
CAPSTONE HOSPICE, LLC
Other Organization Name
CAPSTONE HOSPICE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
17347 VILLAGE GREEN DR STE 109 JERSEY VILLAGE, TX 77040
Location Phone
(281) 204-2695
Location Fax
(281) 204-2917
Mailing Address
17347 VILLAGE GREEN DR STE 109 JERSEY VILLAGE, TX 77040
Mailing Phone
(281) 204-2695
Mailing Fax
(281) 204-2917
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-08-2021
Last Update Date
10-16-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAVID GOBER

Authorized Official Title
DIRECTOR
Authorized Official Phone
(832) 867-7851

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2289756
Facility Type
Hospice
Certificate Effective Date
September 14, 2025
Certificate Expiration Date
September 13, 2027
Laboratory Director
KRISTI JUSTICE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Capstone Hospice to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114515657, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 5 → 10 → 1 5 → 10 → 1 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 1 + 0 + 1 + 1 + 0 + 6 + 1 + 0 + 24 = 43

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 43 is 50. The difference is the calculated check digit.

50 - 43 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1114515657.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Clinic/Center (Primary Care)
17347 VILLAGE GREEN DR STE 109
JERSEY VILLAGE, TX 77040
Nurse Practitioner (Gerontology)
17347 VILLAGE GREEN DR STE 109
JERSEY VILLAGE, TX 77040
Nurse Practitioner (Primary Care)
17347 VILLAGE GREEN DR STE 109
JERSEY VILLAGE, TX 77040
In Home Supportive Care
17347 VILLAGE GREEN DR STE 109
JERSEY VILLAGE, TX 77040

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114515657, enumerated as an "organization" on January 08, 2021.

The provider is located at 17347 VILLAGE GREEN DR STE 109 JERSEY VILLAGE, TX 77040 and the phone number is (281) 204-2695.

Hospice Care, Community Based with taxonomy code 251G00000X.