NPIMap

Organization Active NPI

Peaceway Hospice LLC

  • Community Based Hospice Care Agency
  • Garland, TX
National Provider Identifier
1346683943
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PEACEWAY HOSPICE LLC
Practice address
3200 Broadway Blvd Ste 220
Garland, TX 75043-9909
Phone
(972) 366-5030
Fax
(469) 391-9960
NPI assigned
Apr 12, 2013
Last updated
Mar 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Authorized official

Name
Mr. Chad Higbee
Title
Ceo
Phone
(972) 366-5030

Specialties & licenses 1

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

Addresses

Primary practice location

3200 Broadway Blvd Ste 220
Garland, TX 75043-9909

Mailing address

3200 Broadway Blvd Ste 220
Garland, TX 75043-9909
Phone (972) 366-5030

Other practice location 1

6501 Wesley St Ste B
Greenville, TX 75402-7389
Phone (903) 458-9800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131122001047 TX Part A Provider - Hospice 9830325760 Practice locations: Greenville, TX; Garland, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346683943. Details of each certification follow.

Hospice certification: CCN 741556

Legal name
PEACEWAY HOSPICE LLC
Doing business as
HOPE HEALTH CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 12, 2015
Last certification
Jan 8, 2021
Ownership / control type
Proprietary - Individual
Organization structure
LLCProprietary
Enrollment address
530 Clara Barton Blvd
Ste 250
Garland, TX 75042-5781

Care Compare: Hospice

Medicare Care Compare
Listed as
Hope Health CareCCN 741556 · All quality measures
Ownership
For-Profit
Certified
May 12, 2015
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
45D2062687Peaceway Hospice LLC530 Clara Barton Blvd Suite 250, Garland, TX 75042Certificate of waiverJul 18, 2027

National Provider Directory

National Provider Directory

Locations

3200 Broadway Blvd
Ste 220
Garland, TX 75043
Phone (972) 366-5030

3101 Joe Ramsey Blvd E
Ste 101
Greenville, TX 75401
Phone (903) 458-9800

6501 Wesley St
Ste B
Greenville, TX 75402
Phone (903) 458-9800

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Vernon Govender Individual 5% Or Greater Direct Ownership InterestMember Apr 11, 2020 40%
Kevin Scott Jensen Individual Contracted Managing EmployeeAssociate Medical Director Aug 1, 2024
Jyotsna S Prasad Individual Contracted Managing EmployeeAssociate Medical Director Aug 1, 2025
Chad Wayne Higbee Individual 5% Or Greater Direct Ownership InterestManaging Member- Administrator Apr 11, 2020 20%
Corporate OfficerExecutive Director- Board Member Jun 6, 2016
Corporate DirectorExecutive Director- Board Member Jun 6, 2016
W-2 Managing EmployeeAd;Ceo Feb 8, 2016 20%
Neville Govender Individual 5% Or Greater Direct Ownership InterestMember Apr 11, 2020 40%
Richard R Deleon Individual Contracted Managing EmployeeMD; Dec 1, 2024
Kojo a Pobee Individual Contracted Managing EmployeeMD; Jun 1, 2022

Owners & managing parties with NPI records 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 11

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": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615161600000",
    "number": "1346683943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 BROADWAY BLVD STE 220",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750439909",
            "telephone_number": "972-366-5030",
            "fax_number": "469-391-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BROADWAY BLVD STE 220",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750439909",
            "telephone_number": "972-366-5030",
            "fax_number": "469-391-9960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6501 Wesley St Ste B",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "TX",
            "postal_code": "754027389",
            "country_code": "US",
            "telephone_number": "903-458-9800",
            "fax_number": "469-391-9960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEACEWAY HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "HIGBEE",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-366-5030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.