ANGEL HOME HOSPICE LLC
NPI 1861668014
Hospice Care, Community Based in Missouri City, TX

NPI Status: Active since May 07, 2008

Contact Information

4501 CARTWRIGHT RD
SUITE#102
MISSOURI CITY, TX
ZIP 77459
Phone: (281) 969-7043

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  • Organization
  • Hospice Care, Community Based
  • CLIA Number: 45D1079044
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 01-23-2026

About ANGEL HOME HOSPICE LLC

This page provides the complete NPI Profile along with additional information for Angel Home Hospice Llc, a provider established in Missouri City, Texas operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1861668014 assigned on May 2008. The practitioner's primary taxonomy code is 251G00000X with license number 011910 (TX). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mrs. Omana Cherukara Simon Np (Administrator)

NPI
1861668014
Provider Name
ANGEL HOME HOSPICE LLC
Entity Type
Organization
Location Address
4501 CARTWRIGHT RD SUITE#102 MISSOURI CITY, TX 77459
Location Phone
(281) 969-7043
Mailing Address
4501 CARTWRIGHT RD SUITE#102 MISSOURI CITY, TX 77459
Mailing Phone
(281) 969-7043
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-07-2008
Last Update Date
04-09-2009
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According to the Hospice Quality Reporting Program (HQRP) data this facility is for-profit and was certified on 03-08-2019 This facility was recently evaluated on the following quality measures: average daily census, hospice served at least 1 patient with both medicare and medicaid coverage during one year, hospice served at least 1 patient enrolled in medicare advantage during one year, care provided in assisted living facility and care provided in home, etc.

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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
License No.
011910
License State
TX

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

MRS. OMANA CHERUKARA SIMON NP

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(281) 969-7043

Hospice Care Information

The Centers for Medicare and Medicaid Services Hospice Quality Reporting Program (HQRP) data provides information on the quality of care that hospice facilities are providing to their patients. The quality reporting data gives families and patients the information they need to decide which hospice is right for them.

CMS Certification Number (CCN)741782
Ownership TypeFor-Profit
Medicare Certification Date03-08-2019
Quality Measure Measure Score
Average Daily Census
Number of patients cared for by a hospice on average each day
153.0
Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year
1= Hospice served at least 1 patient with both Medicaid and Medicare coverage OR 0 = Hospice did not serve any patients with both Medicaid and Medicare coverage
Yes
Hospice served at least 1 patient enrolled in Medicare Advantage during one year
1 = Hospice served at least one patient enrolled in Medicare Advantage OR 0 = Hospice did not serve any patients enrolled in Medicare Advantage
Yes
Care Provided in Assisted Living Facility
Percentage of days patients received care in an assisted living facility
Not Available - Number of patients is too small to report.
Care Provided in Home
Percentage of days patients received care in home
99
Care Provided in Inpatient Hospice Facility
Percentage of days patients received care in an inpatient hospice
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in Inpatient Hospital Facility
Percentage of days patients received care in an inpatient hospital
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Care Provided in Nursing Facility
Percentage of days patients received care in a nursing facility
Not Available - Number of patients is too small to report.
Care Provided in All other locations
Percentage of days patients received care in other locations
Not Available - Number of patients is too small to report.
Care Provided in Skilled Nursing Facility
Percentage of days patients received care in a skilled nursing facility
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Hospice and Palliative Care Treatment Preferences
Facility observed rate
Not Available - Data not submitted for this reporting period.
Beliefs & Values Addressed (if desired by the patient)
Facility observed rate
Not Available - Data not submitted for this reporting period.
Hospice and Palliative Care Pain Screening
Facility observed rate
Not Available - Data not submitted for this reporting period.
Hospice and Palliative Care Pain Assessment
Facility observed rate
Not Available - Data not submitted for this reporting period.
Hospice and Palliative Care Dyspnea Screening
Facility observed rate
Not Available - Data not submitted for this reporting period.
Hospice and Palliative Care Dyspnea Treatment
Facility observed rate
Not Available - Data not submitted for this reporting period.
Patient Treated with an Opioid Who Are Given a Bowel Regimen
Facility observed rate
Not Available - Data not submitted for this reporting period.
Hospice and Palliative Care Composite Process Measure
Facility observed rate
Not Available - Data not submitted for this reporting period.
Hospice Visits in the Last Days of Life
109
Hospice Visits in the Last Days of Life
Facility observed rate
6.4
Hospice Care Index Overall Score
Facility observed rate
6.0
CHC/GIP provided (% days)
234,997
CHC/GIP provided (% days)
Facility observed rate
0.1
CHC/GIP provided (% days)
65
Gaps in nursing visits (% elections)
1,250
Gaps in nursing visits (% elections)
Facility observed rate
95.4
Gaps in nursing visits (% elections)
98
Early live discharges (% live discharges)
981
Early live discharges (% live discharges)
Facility observed rate
1.9
Early live discharges (% live discharges)
22
Late live discharges (% live discharges)
981
Late live discharges (% live discharges)
Facility observed rate
57.9
Late live discharges (% live discharges)
89
Burdensome transitions, Type 1(% live discharges)
981
Burdensome transitions, Type 1 (% live discharges)
Facility observed rate
0.3
Burdensome transitions, Type 1 (% live discharges)
19
Burdensome transitions, Type 2(% live discharges)
981
Burdensome transitions, Type 2 (% live discharges)
Facility observed rate
0.3
Burdensome transitions, Type 2 (% live discharges)
44
Per-beneficiary spending (U.S. dollars $)
1,431
Per-beneficiary spending (U.S. dollars $)
Facility observed rate
27,626
Per-beneficiary spending (U.S. dollars $)
92
Nurse care minutes per routine home care days (minutes)
234,734
Nurse care minutes per routine home care days (minutes)
Facility observed rate
7.0
Nurse care minutes per routine home care days (minutes)
5
Skilled nursing minutes on weekends (% minutes)
1,636,725
Skilled nursing minutes on weekends (% minutes)
Facility observed rate
6.9
Skilled nursing minutes on weekends (% minutes)
37
Visits near death (% decedents)
179
Visits near death (% decedents)
Facility observed rate
49.7
Visits near death (% decedents)
3
Percent of Patients with Cancer
Percentage of patients at hospice who had Cancer as their primary diagnosis
5
Percent of Patients with Circulatory/heart disease
Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis
27
Percent of Patients with Dementia
Percentage of patients at hospice who had Dementia as their primary diagnosis
Not Available - Number of patients is too small to report.
Percent of Patients with Other Conditions
Percentage of patients at hospice who had some other conditions as their primary diagnosis
32
Percent of Patients with Respiratory disease
Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis
14
Percent of Patients with Stroke
Percentage of patients at hospice who had Stroke as their primary diagnosis
12
Provided Routine Home Care and other levels of care
Th hospice had at least one incidence of routine home care and at least one more incidence of care at another level. Blank: hospice only provided care at routine home care level
Not Available - Results aren't available for this reporting period.
Provided Routine Home Care only
The hospice had at least one incidence of RHC over the 3 years, and no incidences of care at any other level. Blank: the hospice had at least one incidence of care at another level
Not Available - Results aren't available for this reporting period.

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
45D1079044
Facility Type
Home Health Agency
Certificate Effective Date
January 24, 2024
Certificate Expiration Date
January 23, 2026
Laboratory Director
BINI J. CHERUKARA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Angel Home Hospice Llc 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 1861668014, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
8
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
1
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
Check
4
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 6 → 12 → 3 6 → 12 → 3 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 8 + 1 + 2 + 1 + 1 + 2 + 6 + 1 + 6 + 0 + 2 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1861668014.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Family Medicine
4501 CARTWRIGHT RD, STE 604
MISSOURI CITY, TX 77459
General Practice
4501 CARTWRIGHT RD, STE 604
MISSOURI CITY, TX 77459
Podiatrist
4501 CARTWRIGHT RD, SUITE 208
MISSOURI CITY, TX 77459
Psychiatry & Neurology (Psychiatry)
4501 CARTWRIGHT RD, STE 103
MISSOURI CITY, TX 77459
Podiatrist
4501 CARTWRIGHT RD, STE 208
MISSOURI CITY, TX 77459
Clinic/Center (Sleep Disorder Diagnostic)
4501 CARTWRIGHT RD, SUITE 401
MISSOURI CITY, TX 77459
4501 CARTWRIGHT RD, SUITE 606
MISSOURI CITY, TX 77459
4501 CARTWRIGHT RD, SUITE 606
MISSOURI CITY, TX 77459
Clinic/Center (Medical Specialty)
4501 CARTWRIGHT RD, SUITE 102
MISSOURI CITY, TX 77459
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4501 CARTWRIGHT RD, SUITE 102
MISSOURI CITY, TX 77459
Counselor (Mental Health)
4501 CARTWRIGHT RD, SUITE 102
MISSOURI CITY, TX 77459
Clinical Nurse Specialist (Medical-Surgical)
4501 CARTWRIGHT RD, SUITE 606
MISSOURI CITY, TX 77459
4501 CARTWRIGHT RD, SUITE 606
MISSOURI CITY, TX 77459
Physician Assistant (Surgical)
4501 CARTWRIGHT RD, SUITE 606
MISSOURI CITY, TX 77459
Specialist
4501 CARTWRIGHT RD, SUITE 606
MISSOURI CITY, TX 77459
Psychologist (Clinical)
4501 CARTWRIGHT RD, SUITE 705
MISSOURI CITY, TX 77459
Specialist/Technologist, Other (Electroneurodiagnostic)
4501 CARTWRIGHT RD, #304
MISSOURI CITY, TX 77459
Specialist
4501 CARTWRIGHT RD, SUITE 304
MISSOURI CITY, TX 77459
Psychologist (Clinical)
4501 CARTWRIGHT RD, STE 103
MISSOURI CITY, TX 77459
Registered Nurse (Registered Nurse First Assistant)
4501 CARTWRIGHT RD, SUITE 606
MISSOURI CITY, TX 77459

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1861668014, enumerated as an "organization" on May 07, 2008.

The provider is located at 4501 CARTWRIGHT RD SUITE#102 MISSOURI CITY, TX 77459 and the phone number is (281) 969-7043.

Hospice Care, Community Based with taxonomy code 251G00000X.