Organization Active NPI

Envision Hospice LLC

  • Community Based Hospice Care Agency
  • Richardson, TX
National Provider Identifier
1083980718
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ENVISION HOSPICE LLC
Practice address
1801 Gateway Blvd Ste 105
Richardson, TX 75080-3665
Phone
(214) 509-6500
Fax
(214) 285-0711
NPI assigned
Mar 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Authorized official

Name
Mr. John Thomas
Title
Owner
Phone
(214) 509-6500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1801 Gateway Blvd Ste 105
Richardson, TX 75080-3665

Mailing address

1801 Gateway Blvd Ste 105
Richardson, TX 75080-3665
Phone (214) 509-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210113000430 TX Part A Provider - Hospice 4385055151 Practice locations: Richardson, TX

Hospice certification: CCN 971723

Legal name
ENVISION HOSPICE LLC
Doing business as
LIVING HOPE HOSPICE DALLAS
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 7, 2021
Last certification
Oct 7, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
1801 Gateway Blvd
Ste 105
Richardson, TX 75080-3665

Care Compare: Hospice

Medicare Care Compare
Listed as
Living Hope Hospice DallasCCN 971723
Ownership
For-Profit
Certified
Oct 7, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1801 Gateway Blvd
Ste 105
Richardson, TX 75080
Phone (214) 509-6500

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Sunanda Cherukuri Individual W-2 Managing EmployeeMD; Jun 2, 2025
Christopher Minor Individual W-2 Managing EmployeeAd; Sep 29, 2025
Tiju Thomas Individual 5% Or Greater Direct Ownership InterestOwner Jun 2, 2025 50%
Corporate DirectorGoverning Body Member Jun 2, 2025 50%
John Thomas Individual 5% Or Greater Direct Ownership InterestOwner Jun 2, 2025 50%
Corporate DirectorGoverning Body Member Jun 2, 2025 50%
W-2 Managing EmployeeAd;Alternate Administrator & Adon Jun 2, 2025 50%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1083980718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 GATEWAY BLVD STE 105",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803665",
            "telephone_number": "214-509-6500",
            "fax_number": "214-285-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 GATEWAY BLVD STE 105",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803665",
            "telephone_number": "214-509-6500",
            "fax_number": "214-285-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-509-6500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.