Organization Active NPI

Blue Horizon Hospice of Texas LLC

  • Community Based Hospice Care Agency
  • Plano, TX
National Provider Identifier
1164149191
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
BLUE HORIZON HOSPICE OF TEXAS LLC
Practice address
6600 Chase Oaks Blvd Ste 1007
Plano, TX 75023-2381
Phone
(214) 584-7077
NPI assigned
Oct 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Authorized official

Name
Suja Kurian
Title
Administrator
Phone
(214) 584-7077

Specialties & licenses 1

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

Addresses

Primary practice location

6600 Chase Oaks Blvd Ste 1007
Plano, TX 75023-2381

Mailing address

6600 Chase Oaks Blvd Ste 1007
Plano, TX 75023-2381
Phone (214) 584-7077

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230922002284 TX Part A Provider - Hospice 4486008570 Practice locations: Plano, TX

Hospice certification: CCN A91731

Legal name
BLUE HORIZON HOSPICE OF TEXAS LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 26, 2024
Last certification
Aug 6, 2024
Organization structure
LLCProprietary
Incorporated
Oct 18, 2022 in TX
Enrollment address
6600 Chase Oaks Blvd
Ste 1007
Plano, TX 75023-2381

Care Compare: Hospice

Medicare Care Compare
Listed as
Blue Horizon Hospice of Texas LLCCCN A91731
Certified
Aug 26, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

6600 Chase Oaks Blvd
Ste 1007
Plano, TX 75023

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Sasha Job Individual 5% Or Greater Direct Ownership InterestBoard Member Altn Admin Oct 18, 2022 50%
Corporate OfficerAltn Admin Oct 18, 2022
W-2 Managing EmployeeAltn Admin Oct 18, 2022
Kimberlyn Lucken Individual 5% Or Greater Direct Ownership InterestBoard Member Oct 18, 2022 50%

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1164149191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 CHASE OAKS BLVD STE 1007",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750232381",
            "telephone_number": "214-584-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 CHASE OAKS BLVD STE 1007",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750232381",
            "telephone_number": "214-584-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HORIZON HOSPICE OF TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "KURIAN",
        "authorized_official_first_name": "SUJA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-584-7077"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.