KDB Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

KDB HOSPICE LLC

Practice address

550 N Main St Ste 207C
Duncanville, TX 75116-3660

Phone

(214) 919-5797

Fax

(888) 414-5160

NPI assigned

Oct 3, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Fina Bowie

Title

Co-Owner

Phone

(214) 919-5797

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275043382. Details of each certification follow.

• CCN 741772 Hospice · Active · Details

Hospice certification: CCN 741772

Legal name

KDB HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 28, 2019

Last certification

Jul 28, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Enrollment address

550 N Main St
Ste 207C
Duncanville, TX 75116-3660

Listed as

KDB Hospice LLCCCN 741772 · All quality measures

Ownership

For-Profit

Certified

Jan 28, 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 2

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 1

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

• Fina Bowie, ANP, GNP

  • Adult Health Nurse Practitioner
  • Duncanville, TX
  • NPI 1346428505

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Cecil Cedric Bailey, MD

  • Internal Medicine Physician
  • Cedar Hill, TX
  • NPI 1871546598

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1275043382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 N MAIN ST STE 207C",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163660",
            "telephone_number": "214-919-5797",
            "fax_number": "888-414-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N MAIN ST STE 207C",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751163660",
            "telephone_number": "214-919-5797",
            "fax_number": "888-414-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KDB HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "BOWIE",
        "authorized_official_first_name": "FINA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "214-919-5797"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Duncanville, TX
• Providers in Duncanville, 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 Jun 4, 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.