Organization Active NPI

Abundant Hospice Services, LLC

  • Community Based Hospice Care Agency
  • Arlington, TX
National Provider Identifier
1295060143
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ABUNDANT HOSPICE SERVICES, LLC
Practice address
1201 N Watson Rd
Suite 166
Arlington, TX 76006-6222
Phone
(817) 633-8300
Fax
(817) 633-8302
NPI assigned
Oct 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Mari-Toni Carag Lane, OTRNPI 1821457516
Title
Owner/Administrator
Phone
(817) 633-8300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1201 N Watson Rd
Suite 166
Arlington, TX 76006-6222

Mailing address

1201 N Watson Rd Ste 166
Arlington, TX 76006-6223
Phone (817) 633-8300

Other identifiers 1

IdentifierTypeStateIssuer
67-1668OtherTXPTAN

Other names 1

  • Abundant Hospice Services, LLC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100611000589 TX Part A Provider - Hospice 6204966542 Practice locations: Arlington, TX

Hospice certification: CCN 671668

Legal name
ABUNDANT HOSPICE SERVICES, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 22, 2011
Last certification
Dec 22, 2020
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Enrollment address
1201 N Watson Rd
Ste 166
Arlington, TX 76006-6249

Care Compare: Hospice

Medicare Care Compare
Listed as
Abundant Hospice Services LLCCCN 671668
Ownership
For-Profit
Certified
Feb 22, 2011
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
45D2001920Abundant Hospice Services, LLC1201 N Watson Rd Suite 166, Arlington, TX 76006Certificate of waiverJan 3, 2028

National Provider Directory

National Provider Directory

Locations

1201 N Watson Rd
Ste 154
Arlington, TX 76006
Phone (817) 633-8300

1201 N Watson Rd
Ste 298
Arlington, TX 76006
Phone (817) 633-8300

1201 N Watson Rd
Ste 226
Arlington, TX 76006
Phone (682) 321-7004

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
Ruth Garcia Individual 5% Or Greater Direct Ownership Interest Jun 24, 2022 50%
Corporate DirectorLLC Member Jun 24, 2022
Syed M a Jamal Individual W-2 Managing EmployeeMedical Director Jan 26, 2022
Mari-Toni Carag Lane Individual 5% Or Greater Direct Ownership Interest Jul 1, 2019 50%
Corporate OfficerCfo/Ceo Jul 1, 2016
Corporate DirectorLLC Member Jul 1, 2016
Operational/Managerial ControlAdministrator/Volunteer Coord Jul 1, 2019 50%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1255132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1295060143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N WATSON RD STE 166",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760066223",
            "telephone_number": "817-633-8300",
            "fax_number": "817-633-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N WATSON RD",
            "address_2": "SUITE 166",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760066222",
            "telephone_number": "817-633-8300",
            "fax_number": "817-633-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT HOSPICE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-10",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "MARI-TONI",
        "authorized_official_middle_name": "CARAG",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "817-633-8300",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "67-1668",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abundant Hospice Services, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.