Organization Active NPI

Beyondfaith Hospice of Garland, LLC

Doing business as BeyondFaith Hospice LLC

  • Community Based Hospice Care Agency
  • Weatherford, TX
National Provider Identifier
1518474394
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
BEYONDFAITH HOSPICE OF GARLAND, LLC
Doing business as
BeyondFaith Hospice LLC
Practice address
950 Hilltop Dr
Weatherford, TX 76086-5488
Phone
(817) 770-0207
Fax
(817) 550-6019
NPI assigned
Jan 3, 2018
Last updated
Apr 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Kelly Seales
Title
Owner
Phone
(940) 521-9915

Specialties & licenses 1

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

Addresses

Primary practice location

950 Hilltop Dr
Weatherford, TX 76086-5488

Mailing address

604 Oak St Ste 105
Graham, TX 76450-3070

Other names 1

  • BeyondFaith Hospice LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180406002260 TX Part A Provider - Hospice 2668735531 Practice locations: Weatherford, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1518474394. Details of each certification follow.

Hospice certification: CCN 741616

Legal name
BEYONDFAITH HOSPICE OF GARLAND LLC
Doing business as
BEYONDFAITH HOSPICE, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 5, 2016
Last certification
Apr 21, 2022
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Enrollment address
950 Hilltop Drive
Weatherford, TX 76086

Care Compare: Hospice

Medicare Care Compare
Listed as
Beyondfaith Hospice, LLCCCN 741616 · All quality measures
Ownership
For-Profit
Certified
Apr 5, 2016
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

804 Santa Fe Dr
Ste 100B
Weatherford, TX 76086

950 Hilltop Dr
Weatherford, TX 76086
Phone (817) 770-0207

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Jennifer Chappell Individual W-2 Managing EmployeeAlt Admin/Supervising Nurse Sep 29, 2022
Operational/Managerial ControlAlt Admin/Supervising Nurse Sep 29, 2022
Tracy & Becky Richardson Family LP Organization, Bryson, TX 5% Or Greater Direct Ownership Interest May 15, 2019 50%
Limited Partnership Interest May 15, 2019 50%
Greg & Kelly Seales Family, LP Organization, Heath, TX 5% Or Greater Direct Ownership Interest May 15, 2019 50%
Limited Partnership Interest May 15, 2019 50%
Kelly S Seales Individual 5% Or Greater Indirect Ownership Interest May 15, 2019
Greg Seales Individual 5% Or Greater Indirect Ownership Interest May 15, 2019
Rebecca Richardson Individual 5% Or Greater Indirect Ownership Interest May 15, 2019
Kimberly Mahan Individual W-2 Managing EmployeeAdministrator Feb 4, 2018
Operational/Managerial ControlAdministrator/ Altsupervising Nurse Feb 4, 2019
Tracy Richardson Individual 5% Or Greater Indirect Ownership Interest May 15, 2019

Facilities with the same owner 3

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

Change-of-ownership history 1

DateEventCounterparty
Feb 4, 2018 Change of OwnershipThis provider was the buyer Aleeza HospiceCCN 741616, TX, NPI 1902204829

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1518474394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 OAK ST STE 105",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764503070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 HILLTOP DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865488",
            "telephone_number": "817-770-0207",
            "fax_number": "817-550-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYONDFAITH HOSPICE OF GARLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "SEALES",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-521-9915"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BeyondFaith Hospice LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weatherford, TX

Sources for this page

Verify at the official NPI Registry.