Holy Trinity Angels Palliative and Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HOLY TRINITY ANGELS PALLIATIVE AND HOSPICE CARE INC

Practice address

451 S Main St Ste 220
Fort Worth, TX 76104-2401

Phone

(817) 720-6100

Fax

(817) 720-6155

NPI assigned

Jan 20, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Matthew King

Title

Manager/Administrator

Phone

(817) 720-6100

Specialties & licenses 1

Addresses

Other names 1

• Halo Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 741777

Legal name

HOLY TRINITY ANGELS PALLIATIVE AND HOSPICE CARE INC

Doing business as

HALO HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 1, 2018

Last certification

Jun 23, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Dec 11, 2013 in TX

Enrollment address

451 S Main St
Ste 220
Fort Worth, TX 76104-2401

Listed as

Halo HospiceCCN 741777

Ownership

For-Profit

Certified

Jun 1, 2018

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 2

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gigi Korattikara Philip

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1134684913
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Kim Elizabeth Higgins, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Hurst, TX
  • NPI 1023209525

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1390176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1487076840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 S MAIN ST STE 220",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042401",
            "telephone_number": "817-720-6100",
            "fax_number": "817-720-6155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 S MAIN ST STE 220",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042401",
            "telephone_number": "817-720-6100",
            "fax_number": "817-720-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY TRINITY ANGELS PALLIATIVE AND HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-20",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MANAGER/ADMINISTRATOR",
        "authorized_official_telephone_number": "817-720-6100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Halo Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Holt, DPT
• Shea Ryan Holt, M.D.
• Tyrin W Holt
• Taylor Leanne Holthofer, DNP-A, CRNA
• Austin Joseph Holtz, DO
• Jessica Holy, MS,RD,LD
• Laura Ashley Holy, P.T., D.P.T.
• Kathleen Holzaepfel, MSSW,LCSW-G, CMC
• Megan Homan, LPC
• Home Care in Gods Holy Hand LLC

• Community Based Hospice Care Agency in Fort Worth, TX
• Providers in Fort Worth, 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 Apr 17, 2024; 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.