Organization Active NPI

Hospice Partners of Kansas LLC

  • Community Based Hospice Care Agency
  • Overland Park, KS
National Provider Identifier
1114211307
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE PARTNERS OF KANSAS LLC
Practice address
10500 Barkley St Ste 228
Overland Park, KS 66212-1838
Phone
(913) 758-1700
NPI assigned
Jun 5, 2011
Organization subpart
Yes
Parent organization
THREE OAKS HOSPICE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

10500 Barkley St Ste 228
Overland Park, KS 66212-1838

Mailing address

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

Other names 2

  • THREE OAKS HOSPICE Doing business as
  • THREE OAKS HOSPICE KANSAS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110803000664 KS Part A Provider - Hospice 0840469110 Practice locations: Overland Park, KS

Hospice certification: CCN 171573

Legal name
HOSPICE PARTNERS OF KANSAS, LLC
Doing business as
THREE OAKS HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 9, 2009
Last certification
Jun 5, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
May 18, 2011 in DE
Enrollment address
10500 Barkley St
Ste 228
Overland Park, KS 66212-1838

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Three Oaks HospiceCCN 171573
Ownership
For-Profit
Certified
Sep 9, 2009
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
17D2169580Hospice Partners of Kansas, LLC10500 Barkley St, Suite 228, Overland Park, KS 66212Certificate of waiverJul 22, 2027

National Provider Directory

National Provider Directory
Tax ID family
Hospice Partners2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

10500 Barkley St
Ste 228
Overland Park, KS 66212
Phone (913) 675-2155

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Melinda Ward Individual W-2 Managing EmployeeAd; Dec 20, 2023
David C Gasmire Individual Corporate OfficerVice President May 1, 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%
Scott F Avery Individual Contracted Managing EmployeeMD; Sep 21, 2022
Three Oaks Hospice, Inc. Organization, Dallas, TX Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 1, 2020 100%
Operational/Managerial Control May 1, 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%
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, 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 May 1, 2020
Andrea F Bohannon Individual Corporate OfficerPresident, Ceo, Asst Secretary May 1, 2020
Corporate DirectorBoard of Directors, Member May 1, 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%

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 4

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": "1307232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1114211307",
    "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": "10500 BARKLEY ST STE 228",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121838",
            "telephone_number": "913-758-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE PARTNERS OF KANSAS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THREE OAKS HOSPICE INC",
        "enumeration_date": "2011-06-05",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "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 KANSAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.