Supreme Hospice Inc is a hospice care center situated at Fort Worth, Texas. This palliative care is medicare certified, hence if you are covered by medicare, medicare will pay the hospice for your care. Supreme Hospice Inc accommodated approx. 21 Medicare beneficiaries whose average age was 76 years in CY2016. Unique hospice identification number provided by medicare to this hospice care is 671787. Supreme Hospice Inc comes under the CMS regional office located at Dallas. This CMS regional office covers all hospices located in Arkansas, Louisiana, New Mexico, Oklahoma, Texas. Services provided at Supreme Hospice Inc mainly includes home health aide, counseling, medical social services, medical supply services, nursing services, other, physician services, Supreme Hospice Inc provides special care for people who are terminally ill. This involves a team-oriented approach that addresses the medical, physical, social, emotional, and spiritual needs of the patient. Hospice also provides support to the patient’s family or caregiver.
Complete Hospice Profile:
Super Plus Hospice Inc type, unique identification code, ownership type, accreditation,short term inpatient care type, address, contact number, fax number and all other information is provided as below.
Recipients can directly walkin or can call on the below given phone number for appointment.
Hospice ID (CCN)
671787
Hospice’s Ownership Type:
For-Profit
Accreditation
UnAccredited
Hospice Address:
915 S. Main Street A, Fort Worth, Texas, 76104
County:
Tarrant
Phone:
817-336-2027
CMS Regional Office
Dallas
Medicare Certification:
Medicare certification details of Supreme Hospice Inc with certification date, type, current status, certification provider, MAC, CBSA Code are stated below.
Medicare Certified:
Yes
Medicare Certification Date:
21 Oct, 2013
Current Status:
Active Provider
Latest visit of the Health or LSC survey:
06 Jun, 2018
Status at the time of certification survey:
In Compliance
Waiver of any life safety code:
No
Latest Certification Type:
Recertification
Certificate Provider:
Dallas CMS Regional Office
MAC
Blue Cross (south Carolina)
CBSA Code
23104 (Urban)
National Hospice Spending and Utilization (2016):
National Hospice Spending and Utilization based on CY2016 for Supreme Hospice Inc are stated below it includes number of beneficiaries, average age of beneficiaries accommodated in hospice, total medicare payment amount received by hospice, total charge amount of the hospice.
Beneficiaries
21
RHC Days (in %)
100
Average Age of Beneficiary
76 year
Total Medicare Payment Amount
$ 369,121
Total Medicare Standard Payment Amount
$ 384,829
Total Charge Amount
$ 259,700
Average Service Hours per Day
Supreme Hospice Inc provided an average of 0.39 hours per day of home health, 0.17 hours per day of Skilled Nursing, 0.03 hours per day of Social Service hospice care.
Beneficiaries by Race
Supreme Hospice Inc provided hospice care to 13 White, 8 not disclosed Medicare beneficiaries in a calendar year.
Site-of-service Hospice Beneficiaries
At Supreme Hospice Inc, distinct Medicare beneficiaries who received the majority of their hospice care days are 19 at home,
Services Provided:
Services available at Supreme Hospice Inc are mentioned below along with the information that who will provide the service like whether it will be provided by hospice staff or will be arranged from any 3rd source or outer source.
Services Available
Provided By
Home Health Aide
Hospice Staff
Counseling
Hospice Staff
Medical Social Services
Hospice Staff
Medical Supply Services
Provided under Arrangement
Nursing Services
Hospice Staff
Other
Provided under Arrangement
Physician Services
Hospice Staff
Quality of Patient Care:
Quality of patient care is measured based on the survey done by the patients who received the hospice care, as well as the experiences of their informal primary caregivers.
Main points included in the survey are treatment preferences, beliefs/values addressed (if desired by the patient), pain screening, pain assessment, dyspnea screening, dyspnea treatment,patients treated with an opioid who are given a bowel regimen.
Measure Name
Score (in %)
National Average
Treatment Preferences
Not Available
98.3
Beliefs/Values Addressed (if desired by the patient)
Not Available
93.6
Pain Screening
Not Available
93.9
Pain Assessment
Not Available
77.7
Dyspnea Screening
Not Available
97.3
Dyspnea Treatment
Not Available
94.6
Patients Treated with an Opioid who are Given a Bowel Regimen
Not Available
93.3
Employee Count:
Supreme Hospice Inc employee information is available below according to the service area, it is also divided among volunteer and employed count.
Services
Employed Count
Volunteer Count
Home Health Aide
1
0
Counseling
1
0
Medical Social Services
1
0
Registered Nurses
3
0
Physician Services
1
0
TOTAL
7
0
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this hospice are as below. Person's position and contact details are also mentioned below.
Name:
Mr. Baiju G Pillai
Position:
Director
Contact Number:
817-528-1832
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of stated hospice are as mentioned below.
NPI Number:
1356771752
NPI Enumeration Date:
21 Nov, 2013
NPI Last Update On:
21 Nov, 2013
Medical Licenses:
Hospice can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Supreme Hospice Inc are as mentioned below.
Specialization
License Number
State
Status
Hospice Care, Community Based
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
915 S Main St, Suite C Fort Worth, Texas
Zip:
76104-3408
Phone Number:
817-528-1832
Fax Number:
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Patients can reach Super Plus Hospice Inc at 915 S. Main Street A, Fort Worth, Texas or can call to book an appointment on 817-336-2027.