Peaceful Hope Hospice and Palliative Care LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PEACEFUL HOPE HOSPICE AND PALLIATIVE CARE LLC

Practice address

621 Avenue G
Dallas, TX 75203-3901

Phone

(214) 866-9270

NPI assigned

Sep 21, 2021

Last updated

Sep 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peace OkienyaNPI 1003686858

Title

P/Admin/Don

Phone

(214) 866-9270

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033880075. Details of each certification follow.

• CCN 971778 Hospice · Active · Details

Hospice certification: CCN 971778

Legal name

PEACEFUL HOPE HOSPICE AND PALLIATIVE CARE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 22, 2022

Last certification

Jun 22, 2022

Ownership / control type

Proprietary - Individual

Organization structure

LLCProprietary

Incorporated

Sep 18, 2021 in TX

Enrollment address

621 Avenue G
Dallas, TX 75203-3901

Listed as

Peaceful Hope Hospice and Palliative Care LLCCCN 971778 · All quality measures

Ownership

For-Profit

Certified

Jun 22, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 1

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.

• Peace Ishmael Bosire Okienya, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
  • NPI 1003686858

  5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Peace Ishmael Bosire Okienya, DNP, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
  • NPI 1003686858
  NPD Authorized official

Affiliated clinicians 1

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

• Harold K Childs, MD

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1639115140

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1033880075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 AVENUE G",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752033901",
            "telephone_number": "214-866-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 AVENUE G",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752033901",
            "telephone_number": "214-866-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACEFUL HOPE HOSPICE AND PALLIATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "OKIENYA",
        "authorized_official_first_name": "PEACE",
        "authorized_official_title_or_position": "P/ADMIN/DON",
        "authorized_official_telephone_number": "214-866-9270"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PDS Turnkey LLC
• Isis Peabody, LCSW
• Peace-Lily Psychiatry and Mental Health Services PLLC
• Helen Vara Peace
• Sapphire Peace, DO
• Peaceful Living
• Peaceful Roots Therapy PLLC
• Jennifer Peacock, CPNP
• Peak Healthcare and Rehab, LLP
• Peak HQ LLC (Aspire Health Clinic)

• Community Based Hospice Care Agency in Dallas, TX
• Providers in Dallas, 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 21, 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.