PROFESSIONAL HEALTH CARE
NPI 1750586814
Hospice Care, Community Based in Beaumont, TX

NPI Status: Active since June 19, 2007

Contact Information

2533 CALDER ST
BEAUMONT, TX
ZIP 77702
Phone: (409) 212-0205
Fax: (409) 212-0208

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  • Organization
  • Hospice Care, Community Based

About PROFESSIONAL HEALTH CARE

This page provides the complete NPI Profile along with additional information for Professional Health Care, a provider established in Beaumont, Texas operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1750586814 assigned on June 2007. The practitioner's primary taxonomy code is 251G00000X with license number 007934 (TX). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Professional Health Care. The authorized official of this NPI record is Leann Rachelle Rivers (Ceoadministrator)

NPI
1750586814
Provider Legal Name
SOUTHEAST TEXAS PROFESSIONAL HEALTH CARE, INC
Other Organization Name
PROFESSIONAL HEALTH CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2533 CALDER ST BEAUMONT, TX 77702
Location Phone
(409) 212-0205
Location Fax
(409) 212-0208
Mailing Address
2533 CALDER ST BEAUMONT, TX 77702
Mailing Phone
(409) 212-0205
Mailing Fax
(409) 212-0208
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-19-2007
Last Update Date
01-08-2008
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According to the Home Health Compare program data, Professional Health Care doesn't have a Quality of Patient Star Rating available at this time because the number of patient episodes for this measure is too small to report. To have a quality star rating computed, Home Health Agencies must have reported data for 5 of the 7 measures used in the Quality of Patient Care Star Ratings calculation. The seven measures used to calculate the quality star rating are: timely initiation of care, improvement in ambulation, bed transferring, bathing, shortness of breath, management of oral medications and relapse in acute care hospitalizations.

According to the Hospice Quality Reporting Program (HQRP) data this facility is for-profit and was certified on 08-05-2004 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.
007934
License State
TX

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

LEANN RACHELLE RIVERS

Authorized Official Title
CEOADMINISTRATOR
Authorized Official Phone
(409) 212-0205

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
451763MEDICARE OSCAR/CERTIFICATION (06)TX 

Nursing Home Compare Information

The Centers for Medicare and Medicaid Services publishes Home Health Compare quality of care data to provide consumers an easy way to compare "Medicare-certified" home health agencies throughout the nation. "Medicare-certified" home health agencies are approved by Medicare and meet certain federal health and safety requirements.

The Home Health Compare information helps consumers learn how well home health agencies care for their patients, how often each agency used best practices when caring for its patients and what patients said about their recent home health care experience.

Quality of Patient Care Rating Quality of Patient Care Rating
The quality of patient care star rating summarizes 8 of the 23 quality measures reported on Home Health Compare. It provides a single indicator of an agency's performance compared to other agencies.
- 0 out of 5 stars - The number of patient episodes for this measure is too small to report.
Ownership Type Ownership Type
Home health agencies can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities. The type of ownership may affect agency resources and how services are organized. Quality can vary in home health agencies within each of the different types of ownership. Each agency needs to be judged on its own merits.
Proprietary
Offers Nursing Care Offers Nursing Care?
The home health agency offers care given or supervised by registered nurses. Nurses provide direct care; manage, observe, and evaluate a patient’s care; and teach the patient and his or her family caregiver. Examples include: giving IV drugs, shots, or tube feedings; changing dressings; and teaching about diabetes care. Any service that could be done safely by a non-medical person (or by yourself) without the supervision of a nurse isn’t skilled nursing care. Medicare covers home health skilled nursing care that's part time and intermittent.
Yes
Offers Physical Therapy Offers Physical Therapy?
The home health agency offers treatment of injury and disease by mechanical means, like heat, light, exercise, and massage.
Yes
Offers Occupational Therapy Offers Occupational Therapy?
The home health agency offers services given to help you return to usual activities (like bathing, preparing meals, and housekeeping) after illness either on an inpatient or outpatient basis.
Yes
Offers Speech Therapy Offers Speech Therapy?
The home health agency offers services to assist with problems involving speech, language, and swallowing. Communication problems can be present at birth or develop after an injury or illness, like a stroke.
Yes
Offers Medical Social Services Medical Social Services?
The home health agency offers services to help with social and emotional concerns related to your illness. This might include counseling or help in finding resources in your community.
Yes
Offers Home Health Aide Offers Home Health Aide?
The home health agency offers part time or intermittent services to help with daily living activities.
No
Medicare Certification Date08-29-2002
Number of episodes used to calculate how much Medicare spends at this agency Number of episodes used to calculate how much Medicare spends at this agency
Number of episodes of care used to calculate how much Medicare spends on an episode of care at this agency, compared to Medicare spending across all agencies nationally.
46
How much Medicare spends on an episode of care at this agency, compared to Medicare spending across all agencies nationally? How much Medicare spends on an episode of care at this agency, compared to Medicare spending across all agencies nationally?
This measure evaluates Home Health resource use relative to the resource use of the national median of all Home Health providers. Specifically, the measure assesses the Medicare spending performed by the Home Health provider and other healthcare providers during an MSPB-PAC episode.
0.67%

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)451763
Ownership TypeFor-Profit
Medicare Certification Date08-05-2004
Quality Measure Measure Score
Average Daily Census
Number of patients cared for by a hospice on average each day
30.0
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
6
Care Provided in Home
Percentage of days patients received care in home
86
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
7
Care Provided in All other locations
Percentage of days patients received care in other locations
1
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
51
Hospice Visits in the Last Days of Life
Facility observed rate
56.9
Hospice Care Index Overall Score
Facility observed rate
7.0
CHC/GIP provided (% days)
26,397
CHC/GIP provided (% days)
Facility observed rate
0.0
CHC/GIP provided (% days)
51
Gaps in nursing visits (% elections)
107
Gaps in nursing visits (% elections)
Facility observed rate
82.2
Gaps in nursing visits (% elections)
88
Early live discharges (% live discharges)
29
Early live discharges (% live discharges)
Facility observed rate
0.0
Early live discharges (% live discharges)
19
Late live discharges (% live discharges)
29
Late live discharges (% live discharges)
Facility observed rate
65.5
Late live discharges (% live discharges)
95
Burdensome transitions, Type 1(% live discharges)
29
Burdensome transitions, Type 1 (% live discharges)
Facility observed rate
10.3
Burdensome transitions, Type 1 (% live discharges)
69
Burdensome transitions, Type 2(% live discharges)
29
Burdensome transitions, Type 2 (% live discharges)
Facility observed rate
0.0
Burdensome transitions, Type 2 (% live discharges)
43
Per-beneficiary spending (U.S. dollars $)
123
Per-beneficiary spending (U.S. dollars $)
Facility observed rate
33,155
Per-beneficiary spending (U.S. dollars $)
96
Nurse care minutes per routine home care days (minutes)
26,239
Nurse care minutes per routine home care days (minutes)
Facility observed rate
6.9
Nurse care minutes per routine home care days (minutes)
5
Skilled nursing minutes on weekends (% minutes)
182,205
Skilled nursing minutes on weekends (% minutes)
Facility observed rate
5.4
Skilled nursing minutes on weekends (% minutes)
19
Visits near death (% decedents)
66
Visits near death (% decedents)
Facility observed rate
83.3
Visits near death (% decedents)
18
Percent of Patients with Cancer
Percentage of patients at hospice who had Cancer as their primary diagnosis
Not Available - Number of patients is too small to report.
Percent of Patients with Circulatory/heart disease
Percentage of patients at hospice who had Circulatory Heart Disease as their primary diagnosis
46
Percent of Patients with Dementia
Percentage of patients at hospice who had Dementia as their primary diagnosis
21
Percent of Patients with Other Conditions
Percentage of patients at hospice who had some other conditions as their primary diagnosis
0 - Value is based on one year of data and does not indicate that the hospice would have 0% in more recent years.
Percent of Patients with Respiratory disease
Percentage of patients at hospice who had Respiratory Disease as their primary diagnosis
Not Available - Number of patients is too small to report.
Percent of Patients with Stroke
Percentage of patients at hospice who had Stroke as their primary diagnosis
Not Available - Number of patients is too small to report.
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
Yes
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
No

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750586814
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001081282
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 8 + 1 + 2 + 8 + 2 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1750586814 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1245391259SOUTHEAST TEXAS PROFESSIONAL HEALTH CARE INC
Organization
Home Health2533 CALDER ST
BEAUMONT, TX 77702
(409) 212-0205
1942208244SOUTHEAST TEXAS PROFESSIONAL HEALTH CARE, INC
Organization
Home Health2533 CALDER ST
BEAUMONT, TX 77702
(409) 212-0205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750586814, enumerated in the NPI registry as an "organization" on June 19, 2007

The provider is located at 2533 Calder St Beaumont, Tx 77702 and the phone number is (409) 212-0205

This medical organization specializes in Hospice Care, Community Based with taxonomy code 251G00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 19, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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