Legend Hospice Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LEGEND HOSPICE INC.

Doing business as

Legend Hospice and Palliative Care

Practice address

4200 S Hulen St Ste 304
Fort Worth, TX 76109-4911

Phone

(214) 324-4565

Fax

(214) 919-4510

NPI assigned

Nov 30, 2010

Last updated

Apr 30, 2024By 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

Mr. George Thomas

Title

Ceo

Phone

(214) 324-4565

Specialties & licenses 1

Addresses

Other names 1

• Legend Hospice and Palliative Care 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 1164724993. Details of each certification follow.

• CCN 671731 Hospice · Active · Details

Hospice certification: CCN 671731

Legal name

LEGEND HOSPICE INC.

Doing business as

LEGEND HOSPICE AND PALLIATIVE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 28, 2012

Last certification

Mar 10, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Nov 1, 2010 in TX

Enrollment address

4200 S Hulen St
Ste 304
Fort Worth, TX 76109-4911

Listed as

Legend Hospice and Palliative CareCCN 671731 · All quality measures

Ownership

For-Profit

Certified

Jun 28, 2012

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 3

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

Practitioners 1

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.

• Ariel Beckey, NP

  • Family Nurse Practitioner
  • Euless, TX
  • NPI 1720745425
  NPD

Affiliated clinicians 3

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

• Bilawal Sunny Ahmed, MD

  • Internal Medicine Physician
  • McKinney, TX
  • NPI 1720540644

  Hospice

  Care Compare affiliation
• John G Preddy, DO

  • Family Medicine Physician
  • Uvalde, TX
  • NPI 1922064955

  Hospice

  Care Compare affiliation
• Mark Allen Sanders, DO

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1770544389

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1164724993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18601 LYNDON B JOHNSON FWY STE 110",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505629",
            "telephone_number": "214-324-4565",
            "fax_number": "214-919-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 S HULEN ST STE 304",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094911",
            "telephone_number": "214-324-4565",
            "fax_number": "214-919-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGEND HOSPICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-324-4565",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legend Hospice and Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Legacy Living Centers (Fort Worth Manor)
• Legacy Neurology & Sleep of North Texas
• Engelyn Legaspi
• Patrick Lege, RN
• Legend Billing Network
• Legend Internal Medicine, Urgent Care & Diagnostic
• Hayden Skeet Leggett
• Justine Elena Legrand, CPM, LM
• Lee Norris Legrice, PHD, LCSW
• Marion S Legros, CRNA

• Community Based Hospice Care Agency in Fort Worth, TX
• Providers in Fort Worth, 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 30, 2024; 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.