Active NPI
Angelic Grace Hospice and Palliative Care LLC
- Community Based Hospice Care Agency
- Farmers Branch, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Vera Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Hospice
- Ownership
- For-Profit
- Certified
- Jun 1, 2018
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2129031 | Angelic Grace Hospice & Palliative Care, LLC | Certificate of waiver | Apr 10, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Kelly W Wolfe | 5% Or Greater Direct Ownership Interest | Mar 23, 2023 | 25% |
| Steven R Bray | Contracted Managing Employee | Mar 1, 2022 | |
| 5% Or Greater Indirect Ownership Interest | Mar 23, 2023 | 20% | |
| Spartan Principal Holdings LP | 5% Or Greater Direct Ownership Interest | Mar 23, 2023 | 20% |
| Indigo Ventures Holdings LLC | 5% Or Greater Direct Ownership Interest | Mar 23, 2023 | 35% |
| Betson J Zachariah | 5% Or Greater Indirect Ownership Interest | Mar 23, 2023 | 35% |
| W-2 Managing Employee | Mar 23, 2023 | ||
| Halito Holdings LLC | 5% Or Greater Direct Ownership Interest | Mar 23, 2023 | 20% |
| Ankit D Punatar | 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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1417971474
5% Or Greater Indirect Ownership Interest, Contracted Managing Employee
-
- Internal Medicine Physician
- Allen, TX
- NPI 1831350461
5% Or Greater Indirect Ownership Interest
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1417971474
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.