Lifeline Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LIFELINE HOSPICE CARE INC

Practice address

9304 Forest LN Ste N165B
Dallas, TX 75243-6238

Phone

(214) 320-3555

Fax

(972) 437-1199

NPI assigned

Apr 17, 2023

Organization subpart

No

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

Authorized official

Name

Osadebawen Egharevba

Title

President

Phone

(214) 718-9765

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN A91738

Legal name

LIFELINE HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 30, 2025

Last certification

Jan 21, 2025

Organization structure

CorporationProprietary

Incorporated

Mar 22, 2023 in TX

Enrollment address

9304 Forest LN
Ste N165B
Dallas, TX 75243-6238

Listed as

Lifeline Hospice Care Inc.CCN A91738 · All quality measures

Certified

Jan 30, 2025

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

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

Owners & managing parties with NPI records 1

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

• Patricia Lois Roberts, D.O.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1053382846

  Other

  CMS ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1396431730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9304 FOREST LN STE N165B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436238",
            "telephone_number": "214-320-3555",
            "fax_number": "972-437-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9304 FOREST LN STE N165B",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752436238",
            "telephone_number": "214-320-3555",
            "fax_number": "972-437-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFELINE HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "EGHAREVBA",
        "authorized_official_first_name": "OSADEBAWEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-718-9765"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifecare Hospitals of North Texas LP (LifeCare Hospitals of Dallas)
• Lifecare Pharmacy of Dallas LLC (Lifecare Pharmacy of Dallas)
• Lifecenter Skills for Development
• Lifegenix Med PLLC
• Lifeline Family Health & Wellness, PLLC
• Lifeline Medical Supplies
• Lifeline of Hope Family Services
• Lifeline Urgent Care LLC (Hybrid Health Clinics)
• Lifemd South Central Patient Medical Care PA
• Lifemend DME LLC

• Community Based Hospice Care Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.

Verify at the official NPI Registry.