Hospice of Texas, LLC
Organization Active NPI Community Based Hospice Care Agency · Midland, TX
NPI 1366083305 · NPPES record last updated Oct 10, 2023
Key facts
- NPI
- 1366083305
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- HOSPICE OF TEXAS, LLC
- Practice address
- 1031 Andrews Hwy Ste 203
Midland, TX 79701-3914 - Phone
- (432) 897-1401
- Fax
- (432) 400-3032
- NPI assigned
- Oct 1, 2019
- Organization subpart
- No
Authorized official
- Name
- Janet Combs
- Title
- VP of Licensure
- Phone
- (704) 664-2876
Owners & managing parties with NPI records 18
Member of 1
Facilities with the same owner 195
Affiliated clinicians 2
-
Ajay Vaikuntam, M.D.
Medicare Care Compare: Hospice
- Listed as
- Gentiva
- Ownership
- For-Profit
- Certified
- Mar 11, 2021
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2192709 | Hospice of Texas, LLC Dba Gentiva | Certificate of waiver | Sep 13, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Hospice certification: CCN 971637
- Legal name
- HOSPICE OF TEXAS, LLC
- Doing business as
- GENTIVA
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 11, 2021
- Last certification
- Mar 11, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC · Proprietary
- Enrollment address
- 1031 Andrews Hwy
Ste 203
Midland, TX 79701-3914
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| Lorie Simpson |
W-2 Managing Employee |
May 27, 2022 | |
| CH Services Midco Holdings Inc |
5% Or Greater Indirect Ownership Interest | Nov 12, 2015 | 100% |
| Kentucky Homecare Parent Inc. |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Ronald C Lazas |
Corporate Officer |
Apr 27, 2021 | |
| Curo Health Services Holdings, Inc |
5% Or Greater Indirect Ownership Interest | Nov 12, 2015 | 100% |
| David Robinson Arnold |
Corporate Officer |
Dec 31, 2021 | |
| Operational/Managerial Control |
Dec 31, 2021 | ||
| Thomas Joseph Dolan |
Corporate Officer |
Nov 30, 2021 | |
| Charlotte Midco, LLC |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 100% |
| Kentucky Homecare Holdings, Inc. |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Humana Inc |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Falcon Hospice, LP |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 100% |
| David Allen Causby |
Corporate Officer |
Apr 27, 2021 | |
| Charlotte Buyer, Inc. |
5% Or Greater Indirect Ownership Interest | Nov 12, 2015 | 100% |
| Curo Health Services LLC |
5% Or Greater Direct Ownership Interest | Aug 17, 2021 | 100% |
| Janet L Combs |
Corporate Officer |
Nov 1, 2021 | |
| CD&R Falcon Holdings, LP |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 60% |
| Centerwell Health Services Inc |
5% Or Greater Indirect Ownership Interest | Aug 11, 2022 | 40% |
| Kah Hospice Company, Inc |
5% Or Greater Indirect Ownership Interest | Mar 1, 2022 | 100% |
| CH Services Group Holdings Inc |
5% Or Greater Indirect Ownership Interest | Nov 12, 2015 | 100% |
| CH Services Holdings Inc |
5% Or Greater Indirect Ownership Interest | Nov 12, 2015 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200921003071 | TX | Part a Provider - Hospice | 2567880669 | Practice locations: Midland, TX |
National Provider Directory
Locations
1031 Andrews Hwy
Ste 203
Midland, TX 79701
Phone (432) 897-1401
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
1031 Andrews Hwy Ste 203
Midland, TX 79701-3914
Mailing address
PO Box 4060
Mooresville, NC 28117-4060
Phone (704) 664-2876
Other names
- Gentiva
Other providers in Midland, TX
- Honeycomb Pediatrics PLLC
- Hope Health and Wellness, PLLC
- Horizon Hearing Healthcare, Inc
- Hospice of Midland, Inc
- Hospice of Midland, Inc
- Dora Elia Howard
- Jacqueline Lynn Howard
- Jamie Walton Howard
- Cooper Howell
- John R. Howlett Jr.
All providers in Midland, TX · Community Based Hospice Care Agency in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.