At Twilight Hospice & Palliative Care of TX LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AT TWILIGHT HOSPICE & PALLIATIVE CARE OF TX LLC

Practice address

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

Phone

(469) 833-3373

NPI assigned

Feb 12, 2020

Last updated

Oct 31, 2024By 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

Bruce Davis, LNFA

Title

Administrator

Phone

(469) 569-4767

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 1073146528. Details of each certification follow.

• CCN 971632 Hospice · Active · Details

Hospice certification: CCN 971632

Legal name

AT TWILIGHT HOSPICE & PALLIATIVE CARE OF TX LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 1, 2020

Last certification

Dec 1, 2020

Ownership / control type

Other

Organization structure

LLCProprietary

Incorporated

Feb 7, 2020 in DE

Enrollment address

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

Listed as

At Twilight Hospice & Palliative Care of TX LLCCCN 971632 · All quality measures

Ownership

For-Profit

Certified

Dec 1, 2020

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 8

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.

• RGV Hospice Care, LLC

  dba At Twilight Hospice & Palliative Care

  • Community Based Hospice Care Agency
  • Carrollton, TX
  • NPI 1013418797

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

  CMS ownership
• Twilight Home Healthcare TX LLC

  dba Morning Star Quality Home Healthcare

  • 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

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.

• Olawale Opeyemi Akinmerese, M.D

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1194918649
  NPD (past)

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1073146528",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 N JOSEY LN STE 301B",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075546",
            "telephone_number": "469-833-3373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4525 Wilshire Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900103846",
            "country_code": "US",
            "telephone_number": "254-485-7671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AT TWILIGHT HOSPICE & PALLIATIVE CARE OF TX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-569-4767",
        "authorized_official_credential": "LNFA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Oct 31, 2024; 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.