Beyondfaith Hospice of Lubbock LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BEYONDFAITH HOSPICE OF LUBBOCK LLC

Practice address

4523 114TH St
Lubbock, TX 79424

Phone

(806) 797-0000

Fax

(806) 797-0101

NPI assigned

Feb 13, 2015

Last updated

Aug 29, 2023By 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

Rebecca Richardson

Title

Owner

Phone

(806) 797-0000

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 1083005938. Details of each certification follow.

• CCN 741629 Hospice · Active · Details

Hospice certification: CCN 741629

Legal name

BEYONDFAITH HOSPICE OF LUBBOCK, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 26, 2016

Last certification

Apr 14, 2022

Ownership / control type

Proprietary - Partnership

Organization structure

LLCProprietary

Enrollment address

4523 114TH Street
Lubbock, TX 79424

Listed as

Beyondfaith Hospice of Lubbock LLCCCN 741629 · All quality measures

Ownership

For-Profit

Certified

Aug 26, 2016

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 8

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

Facilities with the same owner 3

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

• Beyondfaith Hospice LLC

  • Community Based Hospice Care Agency
  • Graham, TX
  • NPI 1396097770

  Greg & Kelly Seales Family, LP, Tracy & Becky Richardson Family LP

  CMS ownership
• Beyondfaith Hospice of Garland, LLC

  dba BeyondFaith Hospice LLC

  • Community Based Hospice Care Agency
  • Weatherford, TX
  • NPI 1518474394

  Greg & Kelly Seales Family, LP, Tracy & Becky Richardson Family LP

  CMS ownership
• Beyondfaith Hospice of Jacksboro, LLC

  dba BeyondFaith Hospice of Wichita Falls, LLC

  • Community Based Hospice Care Agency
  • Wichita Falls, TX
  • NPI 1225422694

  Tracy & Becky Richardson Family LP

  CMS ownership

Practitioners 2

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.

• Casey Woodard Kennedy, APRN

  • Family Nurse Practitioner
  • Lubbock, TX
  • NPI 1356865372
  NPD
• Stephanie S Brown, NP

  • Nurse Practitioner
  • Lubbock, TX
  • NPI 1861027989
  NPD (past)

Affiliated clinicians 3

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

• Christopher Marks Leach, MD

  • Family Medicine Physician
  • O'Donnell, TX
  • NPI 1881040665

  Hospice

  Care Compare affiliation
• Michael Gene McPherson, MD

  • Internal Medicine Physician
  • Lubbock, TX
  • NPI 1053322016

  Hospice

  Care Compare affiliation
• Derek Ian Skinner, MD

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1255394920

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1083005938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4523 114TH STREET",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79424",
            "telephone_number": "806-797-0000",
            "fax_number": "806-797-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4523 114TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79424",
            "telephone_number": "806-797-0000",
            "fax_number": "806-797-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYONDFAITH HOSPICE OF LUBBOCK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-797-0000"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diamantina Virginia Bevers, PTA
• Gerald Clay Bevers, DDS
• Sarah Louise Bevins, OTR/L
• Gabrielle Estelle Beyidi Noah
• Beyondfaith Homecare & Rehab LLC (Beyondfaith Homecare & Rehab of Wichita Falls)
• BG Anesthesia, P.a.
• Kamal D. Bhakta, PHARM.D.,R.PH.,MBA
• Kartikkumar Bhakta
• Komal Tushar Bhakta, M.S.CCC-SLP
• Purvi Ravindra Bhakta, PHARM.D.

• Community Based Hospice Care Agency in Lubbock, TX
• Providers in Lubbock, 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 Aug 29, 2023; 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.