Active NPI
Bella Hospice and Healthcare LLC
Doing business as Champion Healthcare of North Texas
- Community Based Hospice Care Agency
- Southlake, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- BELLA HOSPICE AND HEALTHCARE LLC
- Doing business as
- Champion Healthcare of North Texas
- Practice address
- 560 N Kimball Ave Ste 140
Southlake, TX 76092-6685 - Phone
- (888) 450-2884
- Fax
- (817) 632-3225
- NPI assigned
- Mar 18, 2013
- Last updated
- Nov 3, 2025
- 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
- Mr. David Paul Hernandez
- Title
- Ceo
- Phone
- (888) 450-2884
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
560 N Kimball Ave Ste 140
Southlake, TX 76092-6685
Mailing address
560 N Kimball Ave Ste 140
Southlake, TX 76092-6685
Phone (888) 450-2884
Other names 1
- Champion Healthcare of North Texas
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | SMason@champion-healthcare.com | Direct | |
| Direct Messaging Address | dphernandez@champion-healthcare.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140109000303 | TX | Part A Provider - Hospice | 7810125374 | Practice locations: Southlake, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1336481258. Details of each certification follow.
Hospice certification: CCN 741517
- Legal name
- BELLA HOSPICE AND HEALTHCARE LLC
- Doing business as
- CHAMPION HEALTHCARE OF NORTH TEXAS
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Apr 26, 2014
- Last certification
- Jun 7, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Feb 1, 2013 in TX
- Enrollment address
- 560 N Kimball Ave
Ste 140
Southlake, TX 76092-6685
Care Compare: Hospice
Medicare Care Compare- Listed as
- Champion Healthcare of North Texas
- Ownership
- For-Profit
- Certified
- Apr 26, 2014
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
4120 Gus Thomasson Rd
Mesquite, TX 75150
560 N Kimball Ave
Ste 140
Southlake, TX 76092
Phone (888) 450-2884
Interoperability endpoints
- smason@champion-healthcare.com
Ownership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Morvarid Rezaie | Contracted Managing Employee | Nov 1, 2025 | |
| Danny K Prince | 5% Or Greater Direct Ownership Interest | Oct 25, 2021 | 51% |
| Corporate Officer | Oct 25, 2021 | ||
| Corporate Director | May 1, 2015 | 100% | |
| Operational/Managerial Control | May 1, 2015 | 50% | |
| David Hernandez | 5% Or Greater Direct Ownership Interest | Oct 25, 2021 | 24.5% |
| Corporate Officer | Oct 25, 2021 | ||
| W-2 Managing Employee | Oct 25, 2021 | ||
| Anthony L Fajardo | 5% Or Greater Direct Ownership Interest | Oct 25, 2021 | 24.5% |
| Corporate Officer | Oct 25, 2021 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Acute Care Nurse Practitioner
- Irving, TX
- NPI 1407367592
5% Or Greater Direct Ownership Interest, Corporate Officer
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Fort Worth, TX
- NPI 1164692026
Contracted Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Fort Worth, TX
- NPI 1164692026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762128000000",
"number": "1336481258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 N KIMBALL AVE STE 140",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926685",
"telephone_number": "888-450-2884",
"fax_number": "817-632-3225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 N KIMBALL AVE STE 140",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760926685",
"telephone_number": "888-450-2884",
"fax_number": "817-632-3225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELLA HOSPICE AND HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-18",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "888-450-2884",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "SMason@champion-healthcare.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "8300 Douglas Ave Ste 800",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752255826",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dphernandez@champion-healthcare.com",
"affiliation": "N",
"endpointDescription": "Company Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "8300 Douglas Ave Ste 800",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752255826",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Champion Healthcare of North Texas",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Southlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.