Hospice Services Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HOSPICE SERVICES INC

Practice address

2925 Skyway Cir N
Irving, TX 75038-3510

Phone

(214) 282-4367

NPI assigned

Oct 25, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Sumana Ketha, MDNPI 1962447805

Title

Owner

Phone

(469) 359-7936

Specialties & licenses 1

Addresses

Other names 1

• HOSPICE SERVICES INC Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114494416. Details of each certification follow.

• CCN A91533 Hospice · Active · Details

Hospice certification: CCN A91533

Legal name

HOSPICE SERVICES INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 19, 2022

Last certification

Sep 1, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Sep 11, 2018 in TX

Enrollment address

2925 Skyway Cir N
Ste 100
Irving, TX 75038-3510

Listed as

Hospice Services IncCCN A91533 · All quality measures

Certified

Sep 19, 2022

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 1

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.

• Sumana Ketha, MD

  • Internal Medicine Physician
  • Irving, TX
  • NPI 1962447805

  5% Or Greater Direct Ownership Interest, Corporate Director, Operational/Managerial Control

  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.

• Sumana Ketha, MD

  • Internal Medicine Physician
  • Irving, TX
  • NPI 1962447805
  NPD (past) Authorized official
• Sapana Gurung

  • Family Nurse Practitioner
  • Flower Mound, TX
  • NPI 1629773882
  NPD

Affiliated clinicians 1

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

• Rina Sarkar, MD

  • General Practice Physician
  • Southlake, TX
  • NPI 1073558433

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1114494416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 SKYWAY CIR N STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 SKYWAY CIR N",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383510",
            "telephone_number": "214-282-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "KETHA",
        "authorized_official_first_name": "SUMANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-359-7936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOSPICE SERVICES INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "HOSPICE SERVICES INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mariana Jacqueline Hortelano
• Carmen Horton, N.P.
• Hospice Care Partners, LLC (Hospice Care Partners)
• Hospice Plus Care Inc
• Hospice Providers Inc
• Hospitalist Medical Group PLLC
• Tahsin Tahiyat Hossain, OT
• Christine Lee Hosterman
• Darcy Marie Hostetler, LPT
• House of Dutch Pot Limited Liability Company

• Community Based Hospice Care Agency in Irving, TX
• Providers in Irving, 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 Jul 15, 2020; 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.