Lifecare Health Ventures, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LIFECARE HEALTH VENTURES, LLC

Doing business as

Wings Over Texas Hospice

Practice address

827 N Main St
Cleburne, TX 76033-3817

Phone

(817) 774-9154

NPI assigned

Oct 3, 2018

Last updated

Apr 1, 2026By 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

Dillon Walker

Title

President

Phone

(512) 915-8083

Specialties & licenses 1

Addresses

Other names 1

• Wings Over Texas Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114492360. Details of each certification follow.

• CCN 971524 Hospice · Active · Details

Hospice certification: CCN 971524

Legal name

LIFECARE HEALTH VENTURES, LLC

Doing business as

WINGS OVER TEXAS HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 30, 2019

Last certification

Oct 1, 2019

Ownership / control type

Proprietary - Partnership

Organization structure

LLCProprietary

Incorporated

Jan 11, 2018 in TX

Enrollment address

205 S Caddo St
Ste 100
Cleburne, TX 76031-5504

Listed as

Wings Over Texas HospiceCCN 971524 · All quality measures

Ownership

For-Profit

Certified

Sep 30, 2019

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 12

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.

• Ruston Ladd Jennings, M.D.

  • Internal Medicine Physician
  • Granbury, TX
  • NPI 1972532323

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 5

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

• Randall Dale Henderson, DO

  • Family Medicine Physician
  • Whitney, TX
  • NPI 1700879848

  Hospice

  Care Compare affiliation
• Ruston Ladd Jennings, M.D.

  • Internal Medicine Physician
  • Granbury, TX
  • NPI 1972532323

  Hospice

  Care Compare affiliation
• Charles Franklin Johnson, M.D.

  • Family Medicine Physician
  • Hamilton, TX
  • NPI 1902132988

  Hospice

  Care Compare affiliation
• Clayton Pickering, DO

  • Family Medicine Physician
  • Whitney, TX
  • NPI 1689667826

  Hospice

  Care Compare affiliation
• Anh Khanh Khac Vu, D.O.

  • Internal Medicine Physician
  • Burleson, TX
  • NPI 1467675751

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1114492360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 N MAIN ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760333817",
            "telephone_number": "817-774-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 N MAIN ST",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760333817",
            "telephone_number": "817-774-9154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 S Morgan St",
            "address_purpose": "LOCATION",
            "city": "Granbury",
            "state": "TX",
            "postal_code": "760481956",
            "country_code": "US",
            "telephone_number": "817-774-9154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Hico",
            "state": "TX",
            "postal_code": "76457",
            "country_code": "US",
            "telephone_number": "817-774-9154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFECARE HEALTH VENTURES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-03",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "DILLON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-915-8083"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wings Over Texas Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darci Lamontagne, CPNP
• Lansford Family Medicine, PLLC
• Amy Kristin Laude, MD
• Thai Le, D.D.S
• Brady Latham Leissner
• Bobbie H Lilly, PHD
• Living Well Texas Home Health Care, LLC
• Long Family Dental PA
• Christopher T Long, DDS
• Henry T Long Jr., DDS

• Community Based Hospice Care Agency in Cleburne, TX
• Providers in Cleburne, 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 Apr 1, 2026; 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.