Organization Active NPI

Good Love Hospice LLC

  • Community Based Hospice Care Agency
  • Frisco, TX
National Provider Identifier
1508630864
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GOOD LOVE HOSPICE LLC
Practice address
9300 John Hickman Pkwy Ste 205C
Frisco, TX 75035-5711
Phone
(817) 264-7778
NPI assigned
Nov 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Wasyhun Tesfaye
Title
Owner
Phone
(469) 922-0750

Specialties & licenses 1

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

Addresses

Primary practice location

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

Mailing address

9300 John Hickman Pkwy Ste 205C
Frisco, TX 75035-5711
Phone (817) 264-7778

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241230000716 TX Part A Provider - Hospice 4385171529 Practice locations: Frisco, TX

Hospice certification: CCN A91765

Legal name
GOOD LOVE HOSPICE LLC
Doing business as
GOOD LOVE HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 6, 2025
Last certification
May 23, 2025
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
May 24, 2023 in TX
Enrollment address
9300 John Hickman Pkwy
Ste 205C
Frisco, TX 75035-5711

Care Compare: Hospice

Medicare Care Compare
Listed as
Good Love Hospice LLCCCN A91765
Certified
Jun 6, 2025
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
45D2307753Good Love Hospice LLC9300 John Hickman Pkwy Suite 205C, Frisco, TX 75035Certificate of waiverJul 14, 2026

National Provider Directory

National Provider Directory

Locations

9300 John Hickman Pkwy
Ste 205C
Frisco, TX 75035
Phone (817) 264-7778

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Wasyhun Tesfaye Individual 5% Or Greater Direct Ownership InterestOwner May 24, 2023 100%
Sandeep Kokkattu Govindan Individual Corporate DirectorDirector of Operations Apr 1, 2026
Syed M a Jamal Individual Contracted Managing EmployeeMD; Apr 1, 2024
Adhanet B Asgedom Individual W-2 Managing EmployeeAd;Clinical Manager Jul 1, 2023

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

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1508630864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 JOHN HICKMAN PKWY STE 205C",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355711",
            "telephone_number": "817-264-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 JOHN HICKMAN PKWY STE 205C",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355711",
            "telephone_number": "817-264-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LOVE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "TESFAYE",
        "authorized_official_first_name": "WASYHUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-922-0750"
    },
    "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.