NPIMap

Organization Active NPI

Falcon South Plains Hospice, LP

Doing business as Interim Hospice of Granbury

  • Community Based Hospice Care Agency
  • Waco, TX
National Provider Identifier
1144525700
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
FALCON SOUTH PLAINS HOSPICE, LP
Doing business as
Interim Hospice of Granbury
Magnolia Hospice
Practice address
6801 Sanger Ave Ste 260
Waco, TX 76710-7803
Phone
(254) 741-6570
Fax
(254) 751-9390
NPI assigned
Jan 12, 2011
Last updated
Jul 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
John Brandon Durbin
Title
President/Ceo
Phone
(469) 361-0120

Specialties & licenses 1

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

Addresses

Primary practice location

6801 Sanger Ave Ste 260
Waco, TX 76710-7803

Mailing address

101 W Renner Rd Ste 420
Richardson, TX 75082-2022
Phone (806) 771-0995

Other practice location 1

2441 E US Highway 377 Ste 106
Granbury, TX 76049-6117
Phone (817) 573-3092

Other practice location 2

6428 S General Bruce Dr Ste B
Temple, TX 76502-5830
Phone (254) 598-7297

Other identifiers 3

IdentifierTypeStateIssuer
001026114MedicaidTX
014809OtherTXSTATE OPERATOR LICENSE
45D2185345OtherCLIA

Other names 2

  • Interim Hospice of Granbury Doing business as
  • Magnolia Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110720000219 TX Part A Provider - Hospice 8921018631 Practice locations: Temple, TX; Waco, TX; Granbury, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1144525700. Details of each certification follow.

Hospice certification: CCN 671795

Legal name
FALCON SOUTH PLAINS HOSPICE, LP
Doing business as
MAGNOLIA HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 21, 2012
Last certification
Dec 17, 2021
Ownership / control type
Proprietary - Other
Organization structure
OtherProprietary
Incorporated
Dec 21, 2012 in TX
Enrollment address
6801 Sanger Ave
Ste 260
Waco, TX 76710-7803

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospice

Medicare Care Compare
Listed as
Magnolia HospiceCCN 671795 · All quality measures
Ownership
For-Profit
Certified
Dec 21, 2012
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
45D2027462Falcon South Plains Hospice, LP2441 E US Hwy 377 Ste 105-106, Granbury, TX 76049Certificate of waiverJul 25, 2027
45D2185345Interim Hospice of Granbury6801 Sanger Avenue Ste 260, Waco, TX 76710Certificate of waiverJun 1, 2028
45D2336761Magnolia Hospice6801 Sanger Ave, Ste 260, Waco, TX 76710Certificate of waiverJan 8, 2028

National Provider Directory

National Provider Directory
Tax ID family
Excelacare Hospice4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

6428 S General Bruce Dr
Ste B
Temple, TX 76502
Phone (254) 598-7297

2420 Wycon Dr
Ste 401
Waco, TX 76712

6801 Sanger Ave
Ste 260
Waco, TX 76710
Phone (254) 741-6570

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Piyush Mittal Individual Limited Partnership Interest Feb 8, 2012 1%
Nicholas Schwedock Individual Contracted Managing EmployeeMD; Jan 3, 2024
Falcon Healthcare Inc Organization, Lubbock, TX Created for acquisition 5% Or Greater Direct Ownership Interest Jan 3, 2024 96%
Tracy Rodriguez Individual Limited Partnership Interest Feb 8, 2012 2%
Larry a Warmoth Individual Limited Partnership Interest Feb 8, 2012 1%
John Durbin Individual Operational/Managerial ControlManaging Control Jan 3, 2024 96%
Shelly Marker Individual Corporate Director Jan 17, 2022 100%
Operational/Managerial ControlCeo Jan 17, 2022 100%
April Michelle Shofner Individual W-2 Managing EmployeeAd; Mar 10, 2026

Owners & managing parties with NPI records 4

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

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Affiliated clinicians 10

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": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1144525700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W RENNER RD STE 420",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822022",
            "telephone_number": "806-771-0995",
            "fax_number": "806-771-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 SANGER AVE STE 260",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107803",
            "telephone_number": "254-741-6570",
            "fax_number": "254-751-9390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2441 E US Highway 377 Ste 106",
            "address_purpose": "LOCATION",
            "city": "Granbury",
            "state": "TX",
            "postal_code": "760496117",
            "country_code": "US",
            "telephone_number": "817-573-3092",
            "fax_number": "817-573-3492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6428 S General Bruce Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765025830",
            "country_code": "US",
            "telephone_number": "254-598-7297",
            "fax_number": "254-774-6880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FALCON SOUTH PLAINS HOSPICE, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "DURBIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "469-361-0120"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001026114",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OPERATOR LICENSE",
            "identifier": "014809",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2185345",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interim Hospice of Granbury",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Magnolia Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.