Evergrace Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

EVERGRACE HOSPICE, LLC

Practice address

809 W. Enon Avenue Suite a
Fort Worth, TX 76140

Phone

(210) 882-0947

NPI assigned

Jul 16, 2026

Organization subpart

No

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

Authorized official

Name

Mrs. Carole Nkonomo, RN

Title

BSN, RN

Phone

(210) 882-0947

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1784160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1144140690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 W. ENON AVENUE SUITE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76140",
            "telephone_number": "210-882-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 W. ENON AVENUE SUITE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76140",
            "telephone_number": "210-882-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGRACE HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-16",
        "last_updated": "2026-07-16",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "NKONOMO",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_title_or_position": "BSN, RN",
        "authorized_official_telephone_number": "210-882-0947",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.