Active NPI
Quality Plus Hospice LLC
- Community Based Hospice Care Agency
- Farmers Branch, TX
National Provider Identifier
1235862517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2022
- 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
- Suja Kurian
- Title
- Administrator
- Phone
- (214) 584-7077
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Certified
- Nov 27, 2024
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Frank Mba | 5% Or Greater Direct Ownership Interest | Feb 17, 2022 | 50% |
| Linus Nworie | 5% Or Greater Direct Ownership Interest | Feb 17, 2022 | 50% |
| W-2 Managing Employee | Feb 17, 2022 | ||
| Suja Kurian | Corporate Officer | Feb 17, 2022 | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.