Organization Active NPI

Three Oaks Hospice Austin LLC

  • Community Based Hospice Care Agency
  • Austin, TX
National Provider Identifier
1093334765
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
THREE OAKS HOSPICE AUSTIN LLC
Practice address
7800 Shoal Creek Blvd Ste 246S
Austin, TX 78757-1031
Phone
(512) 323-6500
Fax
(512) 323-0404
NPI assigned
Apr 13, 2020
Organization subpart
Yes
Parent organization
THREE OAKS HOSPICE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Andrea Bohannon
Title
President & Ceo
Phone
(214) 628-9950

Specialties & licenses 1

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

Addresses

Primary practice location

7800 Shoal Creek Blvd Ste 246S
Austin, TX 78757-1031

Mailing address

717 N Harwood St Ste 550
Dallas, TX 75201-6540
Phone (214) 628-9951

Other practice location 1

624 S Austin Ave Ste 205
Georgetown, TX 78626-5707
Phone (512) 610-2373

Other names 3

  • THREE OAKS HOSPICE Doing business as
  • THREE OAKS HOSPICE AUSTIN Doing business as
  • THREE OAKS HOSPICE GEORGETOWN Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201112002379 TX Part A Provider - Hospice 5799195194 Practice locations: Austin, TX; Georgetown, TX

Hospice certification: CCN 451788

Legal name
THREE OAKS HOSPICE AUSTIN LLC
Doing business as
THREE OAKS HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 11, 2005
Last certification
May 5, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
7800 Shoal Creek Blvd
Ste 246S
Austin, TX 78757-1031

Care Compare: Hospice

Medicare Care Compare
Listed as
Three Oaks HospiceCCN 451788
Ownership
For-Profit
Certified
Apr 11, 2005
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2192065Three Oaks Hospice Austin, LLC7800 Shoal Creek Boulevard, Suite 246 South, Austin, TX 78757Certificate of waiverSep 2, 2026
45D2312735Three Oaks Hospice Austin, LLC, Dba Three624 S. Austin Avenue, Suite 205, Georgetown, TX 78626Certificate of waiverOct 16, 2026

National Provider Directory

National Provider Directory

Locations

7800 Shoal Creek Blvd
Ste 145S
Austin, TX 78757
Phone (512) 323-5577

7800 Shoal Creek Blvd
Ste 246S
Austin, TX 78757
Phone (512) 323-6500

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
David C Gasmire Individual Corporate OfficerVice President Jun 10, 2020
Corporate DirectorBoard of Directors, Member Oct 22, 2024
Cypress Purchaser, LLC Organization, Washington, DC Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 22, 2024 100%
Cypress Midco, Inc. Organization, Coconut Grove, FL Created for acquisition, Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 22, 2024 100%
Three Oaks Hospice, Inc. Organization, Dallas, TX Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 10, 2020 100%
Operational/Managerial Control Jun 10, 2020 100%
Cypress Parent Holdings, LLC Organization, Washington, DC Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 22, 2024 100%
Owen Davis Individual Corporate DirectorBoard of Directors, Chairman Oct 22, 2024
Other Oct 22, 2024
Kelly a Priegnitz Individual Corporate DirectorBoard of Directors, Member Oct 22, 2024
Other Oct 22, 2024
Martis Partners IV Cypress Aggregator LP Organization, Washington, DC Created for acquisition, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 22, 2024 80.39%
Martis Partners IV GP, LLC Organization, Washington, DC LLC, Owned by another organization or individual Other Oct 22, 2024
Phillip Campbell Individual Corporate DirectorBoard of Directors, Member Oct 22, 2024
Other Oct 22, 2024
Sixian C Welch Individual Contracted Managing EmployeeMD; Nov 1, 2020
Martis Partners IV, LP Organization, Washington, DC Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 22, 2024 63.1%
Lisa M Pekar Individual W-2 Managing EmployeeDirector of Licensure Jun 10, 2020
Andrea F Bohannon Individual Corporate OfficerPresident, Ceo, Asst Secretary Jun 10, 2020
Corporate DirectorBoard of Directors, Member Jun 10, 2020
Ross J Taylor Individual Corporate OfficerSecretary Oct 22, 2024
Martis Partners IV PV, LP Organization, Washington, DC Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 22, 2024 12.93%
Cara Edmond Individual W-2 Managing EmployeeAd; Apr 9, 2025

Owners & managing parties with NPI records 1

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

Facilities with the same owner 22

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

View all 22

Change-of-ownership history 1

DateEventCounterparty
Jun 10, 2020 Change of OwnershipThis provider was the buyer A*Med Home HealthCCN 451788, TX, NPI 1679794408

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1586736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1093334765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 N HARWOOD ST STE 550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752016540",
            "telephone_number": "214-628-9951",
            "fax_number": "214-389-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SHOAL CREEK BLVD STE 246S",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571031",
            "telephone_number": "512-323-6500",
            "fax_number": "512-323-0404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 S Austin Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "TX",
            "postal_code": "786265707",
            "country_code": "US",
            "telephone_number": "512-610-2373",
            "fax_number": "512-807-0531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THREE OAKS HOSPICE AUSTIN LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THREE OAKS HOSPICE INC",
        "enumeration_date": "2020-04-13",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "BOHANNON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "214-628-9950"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THREE OAKS HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THREE OAKS HOSPICE AUSTIN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THREE OAKS HOSPICE GEORGETOWN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.