Organization Active NPI

Bella Hospice and Healthcare LLC

Doing business as Champion Healthcare of North Texas

  • Community Based Hospice Care Agency
  • Southlake, TX
National Provider Identifier
1336481258
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 TexasCCN 741517 · All quality measures
Ownership
For-Profit
Certified
Apr 26, 2014
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

4120 Gus Thomasson Rd
Mesquite, TX 75150

560 N Kimball Ave
Ste 140
Southlake, TX 76092
Phone (888) 450-2884

Interoperability endpoints

  • Direct secure messaging: 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.

NameRoleSinceShare
Morvarid Rezaie Individual Contracted Managing EmployeeMD; Nov 1, 2025
Danny K Prince Individual 5% Or Greater Direct Ownership Interest Oct 25, 2021 51%
Corporate OfficerCfo Oct 25, 2021
Corporate DirectorSole Director, Secretary May 1, 2015 100%
Operational/Managerial ControlSecretary, Director May 1, 2015 50%
David Hernandez Individual 5% Or Greater Direct Ownership Interest Oct 25, 2021 24.5%
Corporate OfficerCeo Oct 25, 2021
W-2 Managing EmployeeAdministrator Oct 25, 2021
Anthony L Fajardo Individual 5% Or Greater Direct Ownership Interest Oct 25, 2021 24.5%
Corporate OfficerCoo 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.

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.

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

Verify at the official NPI Registry.