Organization Active NPI

Angelic Grace Hospice and Palliative Care LLC

  • Community Based Hospice Care Agency
  • Farmers Branch, TX
National Provider Identifier
1003365099
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ANGELIC GRACE HOSPICE AND PALLIATIVE CARE LLC
Practice address
14140 Midway Rd Ste 104
Farmers Branch, TX 75244-3707
Phone
(214) 941-9522
Fax
(972) 546-4792
NPI assigned
Oct 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Authorized official

Name
Betson John Zachariah
Title
Owner
Phone
(972) 890-4743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

14140 Midway Rd Ste 104
Farmers Branch, TX 75244-3707

Mailing address

14110 Dallas Pkwy Ste 170
Dallas, TX 75254-1367
Phone (972) 629-6911

Other names 2

  • Alta Hospice Doing business as
  • Vera Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170814002902 TX Part A Provider - Hospice 1153693973 Practice locations: Farmers Branch, TX

Hospice certification: CCN 741727

Legal name
ANGELIC GRACE HOSPICE AND PALLIATIVE CARE LLC
Doing business as
VERA HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 1, 2018
Last certification
Mar 4, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Aug 23, 2016 in TX
Enrollment address
14140 Midway Rd
Ste 104
Farmers Branch, TX 75244-3707

Care Compare: Hospice

Medicare Care Compare
Listed as
Vera HospiceCCN 741727
Ownership
For-Profit
Certified
Jun 1, 2018
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2129031Angelic Grace Hospice & Palliative Care, LLC14140 Midway Road Suite 104, Farmers Branch, TX 75244Certificate of waiverApr 10, 2027

National Provider Directory

National Provider Directory

Locations

2735 Villa Creek Dr
Ste 165A
Farmers Branch, TX 75234
Phone (214) 556-4996

6600 Chase Oaks Blvd
Ste 150
Plano, TX 75023
Phone (469) 854-3546

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Kelly W Wolfe Individual 5% Or Greater Direct Ownership Interest Mar 23, 2023 25%
Steven R Bray Individual Contracted Managing EmployeeMD; Mar 1, 2022
5% Or Greater Indirect Ownership Interest Mar 23, 2023 20%
Spartan Principal Holdings LP Organization, Parker, TX Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 23, 2023 20%
Indigo Ventures Holdings LLC Organization, Lewisville, TX LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 23, 2023 35%
Betson J Zachariah Individual 5% Or Greater Indirect Ownership InterestAdministrator Mar 23, 2023 35%
W-2 Managing EmployeeAd; Mar 23, 2023
Halito Holdings LLC Organization, Heath, TX LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 23, 2023 20%
Ankit D Punatar Individual 5% Or Greater Indirect Ownership Interest Mar 23, 2023 20%

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1475366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1003365099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14110 DALLAS PKWY STE 170",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752541367",
            "telephone_number": "972-629-6911",
            "fax_number": "972-947-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14140 MIDWAY RD STE 104",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752443707",
            "telephone_number": "214-941-9522",
            "fax_number": "972-546-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC GRACE HOSPICE AND PALLIATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-02",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "ZACHARIAH",
        "authorized_official_first_name": "BETSON",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-890-4743"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alta Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vera Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmers Branch, TX

Sources for this page

Verify at the official NPI Registry.