Hospice of Texarkana, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HOSPICE OF TEXARKANA, INC.

Practice address

2407 Galleria Oaks Dr
Texarkana, TX 75503-4676

Phone

(903) 794-4263

Fax

(430) 200-4677

NPI assigned

Jul 11, 2005

Organization subpart

No

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

Authorized official

Name

Cindy Marsh

Title

Executive Director

Phone

(903) 794-4263

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 451578

Legal name

HOSPICE OF TEXARKANA, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 2, 1993

Last certification

Jun 13, 2019

Ownership / control type

Non-Profit - Other

Organization structure

CorporationNon-profit

Enrollment address

2407 Galleria Oaks Drive
Texarkana, TX 75503-4676

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Hospice of Texarkana, Inc.

  • Community Based Hospice Care Agency
  • Texarkana, AR
  • NPI 1548268683

  4688674989

  Same PAC ID

Listed as

Hospice of Texarkana IncCCN 451578

Ownership

Non-Profit

Certified

Jun 2, 1993

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

Tax ID family

Hospice of Texarkana Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hospice of Texarkana, Inc.

  • Community Based Hospice Care Agency
  • Texarkana, AR
  • NPI 1548268683
  NPD tax ID

All disclosed owners & managing parties 15

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 3

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

• Bret F Craytor, MD

  • Pulmonary Disease Physician
  • Texarkana, TX
  • NPI 1649270539

  Other

  CMS ownership
• Kelly R Pack, AUD

  • Audiologist-Hearing Aid Fitter
  • Texarkana, TX
  • NPI 1730520651

  Other

  CMS ownership
• William Brent Bennett, M. D.

  • Family Medicine Physician
  • Hope, AR
  • NPI 1659634277

  Contracted Managing Employee

  CMS ownership

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Hospice of Texarkana, Inc.

  • Community Based Hospice Care Agency
  • Texarkana, AR
  • NPI 1548268683

  Operational/Managerial Control

  CMS ownership

Affiliated clinicians 2

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

• Donna M Alzaga, M.D.

  • Internal Medicine Physician
  • Marshall, TX
  • NPI 1609069251

  Hospice

  Care Compare affiliation
• William Brent Bennett, M. D.

  • Family Medicine Physician
  • Hope, AR
  • NPI 1659634277

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1336147669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 GALLERIA OAKS DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034676",
            "telephone_number": "903-794-4263",
            "fax_number": "430-200-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 GALLERIA OAKS DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034676",
            "telephone_number": "903-794-4263",
            "fax_number": "430-200-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF TEXARKANA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "903-794-4263"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000209200",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Lee Hoover, ED.D.
• Hope Centered Counseling LLC
• Horizons General Partnership
• Nigel Paul Filler Hortaleza
• Hospice Care of Texas LLP
• Arista Grace Hott, PT, DPT
• Roger Dale House, MD
• Cassondra Houser, CRNP
• Leslie Howland, FNP-C
• Michael Gerald Howling, FNP

• All providers in Texarkana, TX
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.