NPIMap

Organization Active NPI

Beyondfaith Hospice LLC

  • Community Based Hospice Care Agency
  • Graham, TX
National Provider Identifier
1396097770
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
015321 Issued in TX
Legal business name
BEYONDFAITH HOSPICE LLC
Practice address
604 Oak St
Suite 105
Graham, TX 76450-3070
Phone
(940) 521-9915
Fax
(940) 521-9919
NPI assigned
Oct 9, 2012
Last updated
Nov 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Authorized official

Name
Becky Richardson
Title
Owner
Phone
(940) 521-9915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 015321 TX Primary

Addresses

Primary practice location

604 Oak St
Suite 105
Graham, TX 76450-3070

Mailing address

604 Oak St Ste 105
Graham, TX 76450-3070
Phone (940) 521-9915

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130329000124 TX Part A Provider - Hospice 2860637543 Practice locations: Graham, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396097770. Details of each certification follow.

Hospice certification: CCN 671777

Legal name
BEYONDFAITH HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 1, 2013
Last certification
Aug 12, 2020
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Enrollment address
604 Oak St
Ste 105
Graham, TX 76450-3070

Care Compare: Hospice

Medicare Care Compare
Listed as
Beyondfaith Hospice LLCCCN 671777 · All quality measures
Ownership
For-Profit
Certified
Nov 1, 2013
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
William P Martin Individual 5% Or Greater Indirect Ownership Interest Mar 9, 2026 5%
Tracy & Becky Richardson Family LP Organization, Bryson, TX 5% Or Greater Direct Ownership Interest May 15, 2019 42.5%
Limited Partnership Interest May 15, 2019
Greg & Kelly Seales Family, LP Organization, Heath, TX 5% Or Greater Direct Ownership Interest May 15, 2019 42.5%
Limited Partnership Interest May 15, 2019
Kelly S Seales Individual 5% Or Greater Indirect Ownership Interest May 19, 2019
Greg Seales Individual 5% Or Greater Indirect Ownership Interest May 15, 2019
Rebecca Richardson Individual 5% Or Greater Indirect Ownership Interest May 15, 2019
W-2 Managing Employee Nov 1, 2012
Stephanie Beauchamp Individual W-2 Managing Employee Mar 1, 2019
Amber New Individual W-2 Managing Employee Jan 31, 2026
Operational/Managerial Control Jan 31, 2026
Steven Jones Individual 5% Or Greater Direct Ownership Interest Nov 1, 2017 10%
Tracy Richardson Individual 5% Or Greater Indirect Ownership Interest May 15, 2019

Owners & managing parties with NPI records 2

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

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

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": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1396097770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 OAK ST STE 105",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764503070",
            "telephone_number": "940-521-9915",
            "fax_number": "940-521-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 OAK ST",
            "address_2": "SUITE 105",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764503070",
            "telephone_number": "940-521-9915",
            "fax_number": "940-521-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYONDFAITH HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "BECKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-521-9915"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "015321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Graham, TX

Sources for this page

Verify at the official NPI Registry.