Organization Active NPI

By Grace Hospice LLC

  • Community Based Hospice Care Agency
  • Frisco, TX
National Provider Identifier
1447911573
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
BY GRACE HOSPICE LLC
Practice address
9300 John Hickman Pkwy Ste 205a
Frisco, TX 75035-5711
Phone
(214) 618-0307
Fax
(844) 639-2033
NPI assigned
Dec 30, 2021
Last updated
Sep 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Vivian Velasquez Poblete
Title
Administrator
Phone
(817) 707-9580

Specialties & licenses 1

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

Addresses

Primary practice location

9300 John Hickman Pkwy Ste 205a
Frisco, TX 75035-5711

Mailing address

9300 John Hickman Pkwy Ste 205a
Frisco, TX 75035-5711
Phone (214) 618-0307

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220810001662 TX Part A Provider - Hospice 0143603076 Practice locations: Frisco, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1447911573. Details of each certification follow.

Hospice certification: CCN A91720

Legal name
BY GRACE HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 1, 2024
Last certification
Jan 12, 2024
Organization structure
LLCProprietary
Incorporated
Oct 19, 2021 in TX
Enrollment address
9300 John Hickman Pkwy
Ste 205a
Frisco, TX 75035-5711

Care Compare: Hospice

Medicare Care Compare
Listed as
By Grace Hospice LLCCCN A91720 · All quality measures
Certified
Feb 1, 2024
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
45D2248621By Grace Hospice, LLC9300 John Hickman Pkwy Suite 205a, Frisco, TX 75035Certificate of waiverJan 13, 2028

National Provider Directory

National Provider Directory

Locations

6601 Oakmont Blvd
Ste A
Fort Worth, TX 76132
Phone (469) 432-1997

9300 John Hickman Pkwy
Ste 205A
Frisco, TX 75035
Phone (214) 618-0307

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Esther B Uy Individual 5% Or Greater Direct Ownership Interest Oct 19, 2021 50%
General Partnership Interest Oct 19, 2021 50%
Corporate Director Oct 19, 2021
W-2 Managing Employee Oct 19, 2021
Sharmatha K Rajesh Individual W-2 Managing EmployeeChief Financial Officer Sep 3, 2025
Syed M a Jamal Individual Contracted Managing EmployeeMD; Jul 4, 2025
Vivian Poblete Individual 5% Or Greater Direct Ownership Interest Oct 19, 2021 50%
General Partnership Interest Oct 19, 2021 50%
Corporate Director Oct 19, 2021
W-2 Managing EmployeeAd; Oct 19, 2021
Adhanet B Asgedom Individual W-2 Managing EmployeeAlternate Administrator Sep 3, 2025

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1447911573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 JOHN HICKMAN PKWY STE 205A",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355711",
            "telephone_number": "214-618-0307",
            "fax_number": "844-639-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 JOHN HICKMAN PKWY STE 205A",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355711",
            "telephone_number": "214-618-0307",
            "fax_number": "844-639-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BY GRACE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "POBLETE",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "VELASQUEZ",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-707-9580"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.