RGV Hospice Care, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

RGV HOSPICE CARE, LLC

Practice address

2625 N Josey LN Ste 301
Carrollton, TX 75007-5546

Phone

(469) 833-3373

Fax

(469) 643-1960

NPI assigned

Feb 27, 2018

Organization subpart

No

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

Authorized official

Name

Mr. David Garetz

Title

Cfo

Phone

(213) 395-1848

Specialties & licenses 1

Addresses

Other names 1

• AT TWILIGHT HOSPICE & PALLIATIVE CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 971554

Legal name

RGV HOSPICE CARE, LLC

Doing business as

AT TWILIGHT HOSPICE & PALLIATIVE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 18, 2020

Last certification

Mar 18, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Jan 2, 2018 in TX

Enrollment address

2625 N Josey LN
Ste 301
Carrollton, TX 75007-5546

Listed as

At Twilight Hospice & Palliative CareCCN 971554

Ownership

Other

Certified

Mar 18, 2020

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 12

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

Owners & managing parties with NPI records 1

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

• Olawale Opeyemi Akinmerese, M.D

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1194918649

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• At Twilight Hospice & Palliative Care of TX LLC

  • Community Based Hospice Care Agency
  • Carrollton, TX
  • NPI 1073146528

  At Twilight Hospice & Palliative Care LLC a Delaware LLC, Bryn Mawr Trust, Kenwood Trust

  CMS ownership
• Twilight Home Healthcare TX LLC

  • Home Health Agency
  • Dallas, TX
  • NPI 1861095044

  Bryn Mawr Trust, Kenwood Trust

  CMS ownership
• Del Corazon Hospice LLC

  • Community Based Hospice Care Agency
  • Santa Fe, NM
  • NPI 1629367750

  At Twilight Hospice & Palliative Care LLC a Delaware LLC, Bryn Mawr Trust, Kenwood Trust

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Olawale Opeyemi Akinmerese, M.D

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1194918649

  Hospice

  Care Compare affiliation
• Deandre A Brown, MD

  • Internal Medicine Physician
  • Grand Prairie, TX
  • NPI 1932300779

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632700800000",
    "number": "1013418797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 WILSHIRE BLVD STE 210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103846",
            "telephone_number": "214-543-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 N JOSEY LN STE 301",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075546",
            "telephone_number": "469-833-3373",
            "fax_number": "469-643-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RGV HOSPICE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2021-09-27",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "GARETZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "213-395-1848",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AT TWILIGHT HOSPICE & PALLIATIVE CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AT TWILIGHT HOSPICE & PALLIATIVE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Xiklali Reyes
• Pablo Reyna, LPC
• Samuel Reyna, PH.D.
• Brooklyn Reynolds
• Lisa Renee Reznick, M.D.
• Cory Vastina Moody Rice, AGNP-C
• Lauren Rich, M.ED., BCBA
• Richard Shad Hattaway, DDS, PLLC
• Helen H. Richards, LPC
• Stephanie Richards, LPC

• Community Based Hospice Care Agency in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.

Verify at the official NPI Registry.