Organization Active NPI

Green Hills Hospice LLC

  • Community Based Hospice Care Agency
  • Fate, TX
National Provider Identifier
1457763120
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GREEN HILLS HOSPICE LLC
Practice address
4893 E FM 552
Fate, TX 75087-9731
Phone
(972) 913-4165
NPI assigned
May 28, 2014
Last updated
Jun 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Tanya Griffin, LVN
Title
Administrator
Phone
(469) 402-3450

Specialties & licenses 1

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

Addresses

Primary practice location

4893 E FM 552
Fate, TX 75087-9731

Mailing address

4893 E FM 552
Fate, TX 75087-9731
Phone (972) 913-4165

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150919000182 TX Part A Provider - Hospice 0345557567 Practice locations: Rockwall, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1457763120. Details of each certification follow.

Hospice certification: CCN 741636

Legal name
GREEN HILLS HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 12, 2016
Last certification
Jun 16, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
4893 E FM 552
Rockwall, TX 75087-9731

Care Compare: Hospice

Medicare Care Compare
Listed as
Green Hills Hospice LLCCCN 741636 · All quality measures
Ownership
For-Profit
Certified
Aug 12, 2016
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
45D2080667Green Hills Hospice LLC4893 E FM 552, Fate, TX 75087Certificate of waiverJul 10, 2028

National Provider Directory

National Provider Directory

Locations

2665 Villa Creek Dr
Ste 254
Dallas, TX 75234
Phone (214) 709-6565

2665 Villa Creek Dr
Ste A120
Dallas, TX 75234
Phone (972) 803-3990

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
Tanya Rena Griffin Individual W-2 Managing EmployeeAd; Jun 1, 2025
Rhoel Mananghaya Individual 5% Or Greater Direct Ownership InterestRN Apr 14, 2025 2%
Lou Losanes Individual 5% Or Greater Direct Ownership InterestCeo Mar 10, 2025 56%
Operational/Managerial ControlCeo Mar 10, 2025 56%
Halbert Te Individual 5% Or Greater Direct Ownership InterestRN Mar 10, 2025 20%
Niji Stanley Individual 5% Or Greater Direct Ownership InterestCoo Mar 10, 2025 20%
Operational/Managerial ControlChief Operating Officer Mar 10, 2025 20%
Eduardo G Acosta Individual Contracted Managing EmployeeMD; Apr 14, 2025
Larynth Eva Individual 5% Or Greater Direct Ownership InterestRN Mar 10, 2025 2%

Owners & managing parties with NPI records 1

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

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1457763120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4893 E FM 552",
            "city": "FATE",
            "state": "TX",
            "postal_code": "750879731",
            "telephone_number": "972-913-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4893 E FM 552",
            "city": "FATE",
            "state": "TX",
            "postal_code": "750879731",
            "telephone_number": "972-913-4165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN HILLS HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-402-3450",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fate, TX

Sources for this page

Verify at the official NPI Registry.