Organization Active NPI

Radiant Care Hospice LLC

Doing business as Three Oaks Hospice

  • Community Based Hospice Care Agency
  • Rockwall, TX
National Provider Identifier
1508174699
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
RADIANT CARE HOSPICE LLC
Doing business as
Three Oaks Hospice
Three Oaks Hospice Northeast Texas
Practice address
749 Justin Rd
Rockwall, TX 75087-4840
Phone
(469) 399-2155
Fax
(469) 399-2156
NPI assigned
Sep 22, 2010
Last updated
Jul 15, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
THREE OAKS HOSPICE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Andrea Bohannon
Title
President & Ceo
Phone
(214) 850-6210

Specialties & licenses 1

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

Addresses

Primary practice location

749 Justin Rd
Rockwall, TX 75087-4840

Mailing address

717 N Harwood St Ste 550
Dallas, TX 75201-6540
Phone (214) 628-9951

Other names 2

  • THREE OAKS HOSPICE Doing business as
  • THREE OAKS HOSPICE NORTHEAST TEXAS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110914000676 TX Part A Provider - Hospice 2769653138 Practice locations: Rockwall, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508174699. Details of each certification follow.

Hospice certification: CCN 671727

Legal name
RADIANT CARE HOSPICE LLC
Doing business as
THREE OAKS HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 27, 2012
Last certification
Aug 16, 2021
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Enrollment address
749 Justin Rd
Rockwall, TX 75087-4840

Care Compare: Hospice

Medicare Care Compare
Listed as
Three Oaks HospiceCCN 671727 · All quality measures
Ownership
For-Profit
Certified
Jul 27, 2012
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

7137 Colleyville Blvd
Ste 102
Colleyville, TX 76034

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
David C Gasmire Individual Corporate OfficerVice President Sep 12, 2025
Corporate DirectorBoard of Directors, Member Sep 12, 2025
Cypress Purchaser, LLC Organization, Washington, DC LLC 5% Or Greater Indirect Ownership Interest Sep 12, 2025 100%
Steven E Arze Individual Contracted Managing EmployeeMD; Oct 1, 2025
Obed V Balderas Individual W-2 Managing EmployeeAd; Oct 1, 2025
Cypress Midco, Inc. Organization, Coconut Grove, FL Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 12, 2025 100%
Three Oaks Hospice, Inc. Organization, Dallas, TX Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Sep 12, 2025 100%
Operational/Managerial Control Sep 12, 2025 100%
Cypress Parent Holdings, LLC Organization, Washington, DC LLC, Holding company 5% Or Greater Indirect Ownership Interest Sep 12, 2025 100%
Owen Davis Individual Corporate DirectorBoard of Directors, Chairman Sep 12, 2025
Other Sep 12, 2025
Kelly a Priegnitz Individual Corporate DirectorBoard of Directors, Member Sep 12, 2025
Other Sep 12, 2025
Martis Partners IV Cypress Aggregator LP Organization, Washington, DC 5% Or Greater Indirect Ownership Interest Sep 12, 2025 80.39%
Martis Partners IV GP, LLC Organization, Washington, DC LLC Other Sep 12, 2025
Phillip Campbell Individual Corporate DirectorBoard of Directors, Member Sep 12, 2025
Other Sep 12, 2025
Martis Partners IV, LP Organization, Washington, DC 5% Or Greater Indirect Ownership Interest Sep 12, 2025 63.1%
Lisa M Pekar Individual W-2 Managing EmployeeDirector of Licensure Sep 12, 2025
Andrea F Bohannon Individual Corporate OfficerPresident & Ceo Sep 12, 2025
Corporate DirectorBoard of Directors, Member Sep 12, 2025
Ross J Taylor Individual Corporate OfficerSecretary Sep 12, 2025
Martis Partners IV PV, LP Organization, Washington, DC 5% Or Greater Indirect Ownership Interest Sep 12, 2025 12.93%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 22

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

View all 22

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": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1508174699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 N HARWOOD ST STE 550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752016540",
            "telephone_number": "214-628-9951",
            "fax_number": "214-389-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 JUSTIN RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874840",
            "telephone_number": "469-399-2155",
            "fax_number": "469-399-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT CARE HOSPICE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THREE OAKS HOSPICE, INC.",
        "enumeration_date": "2010-09-22",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "BOHANNON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "214-850-6210"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THREE OAKS HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THREE OAKS HOSPICE NORTHEAST TEXAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.