Active NPI
Waterford Hospice LLC
- Community Based Hospice Care Agency
- Paris, TX
National Provider Identifier
1235410598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- WATERFORD HOSPICE LLC
- Practice address
- 420 N Collegiate Dr
Paris, TX 75460-3464 - Phone
- (903) 785-1800
- Fax
- (903) 784-6658
- NPI assigned
- Aug 31, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Stephens
- Title
- Owner
- Phone
- (903) 785-4900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
420 N Collegiate Dr
Paris, TX 75460-3464
Mailing address
420 N Collegiate Dr
Paris, TX 75460-3464
Phone (903) 785-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120209000278 | TX | Part A Provider - Hospice | 1456518026 | Practice locations: Paris, TX |
Hospice certification: CCN 671740
- Legal name
- WATERFORD HOSPICE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jan 17, 2013
- Last certification
- Nov 30, 2018
- Ownership / control type
- Proprietary - Partnership
- Organization structure
- LLC
- Enrollment address
- 420 N Collegiate Dr
Paris, TX 75460-3464
Care Compare: Hospice
Medicare Care Compare- Listed as
- Waterford Hospice LLC
- Ownership
- For-Profit
- Certified
- Jan 17, 2013
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2031155 | Waterford Hospice LLC | Certificate of waiver | Oct 12, 2027 |
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Alexis Stephens | 5% Or Greater Direct Ownership Interest | Mar 12, 2021 | 10% |
| W-2 Managing Employee | Mar 12, 2021 | 10% | |
| Amy E Stephens | 5% Or Greater Direct Ownership Interest | Mar 12, 2021 | 90% |
| Corporate Officer | Mar 12, 2021 | 90% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
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": "1314748800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785801600000",
"number": "1235410598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 N COLLEGIATE DR",
"city": "PARIS",
"state": "TX",
"postal_code": "754603464",
"telephone_number": "903-785-1800",
"fax_number": "903-784-6658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 N COLLEGIATE DR",
"city": "PARIS",
"state": "TX",
"postal_code": "754603464",
"telephone_number": "903-785-1800",
"fax_number": "903-784-6658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WATERFORD HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-31",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A",
"authorized_official_last_name": "STEPHENS",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "903-785-4900"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paris, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.