Enlightened Heights Hospice LL C

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ENLIGHTENED HEIGHTS HOSPICE LL C

Doing business as

Bridge Hospice LLC

Practice address

3532 34TH St
Lubbock, TX 79410-2804

Phone

(806) 993-3900

Fax

(806) 993-3899

NPI assigned

May 17, 2017

Last updated

Dec 9, 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

Tammie Ware

Title

Owner

Phone

(806) 993-3900

Specialties & licenses 1

Addresses

Other names 1

• Bridge Hospice LLC 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 1174050462. Details of each certification follow.

• CCN 971510 Hospice · Active · Details

Hospice certification: CCN 971510

Legal name

ENLIGHTENED HEIGHTS HOSPICE LL C

Doing business as

BRIDGE HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 18, 2019

Last certification

Aug 12, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

May 13, 2017 in TX

Enrollment address

3532 34TH St
Lubbock, TX 79410-1201

Listed as

Enlightened Heights Hospice and Palliative CareCCN 971510 · All quality measures

Ownership

For-Profit

Certified

Jun 18, 2019

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 5

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 2

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

• Emily Flathouse, FNP

  • Family Nurse Practitioner
  • Lubbock, TX
  • NPI 1003244955

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Larry A Warmoth, M.D.

  • Nephrology Physician
  • Lubbock, TX
  • NPI 1902891815

  5% Or Greater Direct Ownership Interest, W-2 Managing Employee

  CMS ownership

Affiliated clinicians 6

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

• Kerry Lane Hendershot, MD

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1700849544

  Hospice

  Care Compare affiliation
• John S Kelley, MD

  • Internal Medicine Physician
  • Temple, TX
  • NPI 1750910436

  Hospice

  Care Compare affiliation
• Tyson Charles Purdy, MD

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1346402328

  Hospice

  Care Compare affiliation
• Derek Ian Skinner, MD

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1255394920

  Hospice

  Care Compare affiliation
• Larry A Warmoth, M.D.

  • Nephrology Physician
  • Lubbock, TX
  • NPI 1902891815

  Hospice

  Care Compare affiliation
• Andres Felipe Yepes Hurtado, MD

  • Pulmonary Disease Physician
  • Lubbock, TX
  • NPI 1497983464

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1174050462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3532 34TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102804",
            "telephone_number": "806-993-3900",
            "fax_number": "806-993-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3532 34TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102804",
            "telephone_number": "806-993-3900",
            "fax_number": "806-993-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHTENED HEIGHTS HOSPICE LL C",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-993-3900"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridge Hospice LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emalie Endsley, FNP
• Endurance Chiropractic and Sports Therapy
• Christian Andrew Enevoldsen, M.A. LPC
• Delphine Engel, M.D.
• Crystal Amara English Dilley, PTA
• Enrique Rodriguez, M.D., P.a.
• Envision Employment Solutions (Envision Service Solutions)
• Epic Chiropractic, LLC (Legacy Spine And Nerve Care)
• Epic Health Services, Inc. (Aveanna Healthcare)
• Epic Health Services, Inc. (Aveanna Heatlhcare)

• Community Based Hospice Care Agency in Lubbock, TX
• Providers in Lubbock, 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 Dec 9, 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.