Organization Active NPI

Quality Plus Hospice LLC

  • Community Based Hospice Care Agency
  • Farmers Branch, TX
National Provider Identifier
1235862517
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
QUALITY PLUS HOSPICE LLC
Practice address
2665 Villa Creek Dr Ste A253
Farmers Branch, TX 75234-7309
Phone
(214) 584-7077
Fax
(214) 602-7596
NPI assigned
Jul 5, 2022
Last updated
Jul 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 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 NU Primary

Addresses

Primary practice location

2665 Villa Creek Dr Ste A253
Farmers Branch, TX 75234-7309

Mailing address

2665 Villa Creek Dr Ste A253
Farmers Branch, TX 75234-7309
Phone (214) 584-7077

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230815003862 TX Part A Provider - Hospice 0042672529 Practice locations: Farmers Branch, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235862517. Details of each certification follow.

Hospice certification: CCN A91742

Legal name
QUALITY PLUS HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 27, 2024
Last certification
Nov 13, 2024
Organization structure
LLCProprietary
Incorporated
Jan 11, 2022 in TX
Enrollment address
2665 Villa Creek Dr
Ste A253
Farmers Branch, TX 75234-7309

Care Compare: Hospice

Medicare Care Compare
Listed as
Quality Plus Hospice LLCCCN A91742 · All quality measures
Certified
Nov 27, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2665 Villa Creek Dr
Ste A253
Farmers Branch, TX 75234

Ownership & related parties

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.

NameRoleSinceShare
Frank Mba Individual 5% Or Greater Direct Ownership InterestBoard Member Feb 17, 2022 50%
Linus Nworie Individual 5% Or Greater Direct Ownership InterestBoard Member Feb 17, 2022 50%
W-2 Managing EmployeeCeo Feb 17, 2022
Suja Kurian Individual Corporate OfficerBoard Member Feb 17, 2022
W-2 Managing EmployeeAdmin Feb 17, 2022

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1235862517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 VILLA CREEK DR STE A253",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752347309",
            "telephone_number": "214-584-7077",
            "fax_number": "214-602-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 VILLA CREEK DR STE A253",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752347309",
            "telephone_number": "214-584-7077",
            "fax_number": "214-602-7596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY PLUS HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmers Branch, TX

Sources for this page

Verify at the official NPI Registry.