Organization Active NPI

Waterford Hospice LLC

  • Community Based Hospice Care Agency
  • Paris, TX
National Provider Identifier
1235410598
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Aug 4, 2026

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
Enrollment address
420 N Collegiate Dr
Paris, TX 75460-3464

Care Compare: Hospice

Medicare Care Compare
Listed as
Waterford Hospice LLCCCN 671740 · All quality measures
Ownership
For-Profit
Certified
Jan 17, 2013
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
45D2031155Waterford Hospice LLC420 N Collegiate Dr, Paris, TX 75460Certificate of waiverOct 12, 2027

National Provider Directory

National Provider Directory

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
Alexis Stephens Individual 5% Or Greater Direct Ownership Interest Mar 12, 2021 10%
W-2 Managing Employee Mar 12, 2021 10%
Amy E Stephens Individual 5% Or Greater Direct Ownership InterestPresident Mar 12, 2021 90%
Corporate OfficerPresident 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

Verify at the official NPI Registry.