Centennial Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CENTENNIAL HOSPICE LLC

Practice address

3620 N.Josey Lane ,Suite #114
3620 N.Josey Lane ,Suite #114
Carrollton, TX 75007

Phone

(214) 794-2646

Fax

(469) 758-0011

NPI assigned

Dec 3, 2020

Last updated

Dec 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph George

Title

Cfo

Phone

(469) 758-0017

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

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

• Lifted Healthcare Group Inc.

  dba Lifted Hospice

  • Community Based Hospice Care Agency
  • Plano, TX
  • NPI 1801572482

  Sold to, 2023-06-30

  CMS change of ownership

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1558966879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 N.JOSEY LANE ,SUITE #114",
            "address_2": "3620 N.JOSEY LANE ,SUITE #114",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75007",
            "telephone_number": "214-794-2646",
            "fax_number": "469-758-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 N.JOSEY LANE ,SUITE #114",
            "address_2": "3620 N.JOSEY LANE ,SUITE #114",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75007",
            "telephone_number": "214-794-2646",
            "fax_number": "469-758-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "469-758-0017"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Castle Hills Pediatrics
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• Jasmine Catchings
• Sheree Evon Cay-Wilkins
• Cedar Diagnostics LLC
• Center for Facial &Oral Surgery P.a.
• Centerpoint Counseling
• Kelley Corbett Centi, M.S. CCC-SLP
• Centre of Aspiration, LLC
• Century Hospice LLC

• Community Based Hospice Care Agency in Carrollton, TX
• Providers in Carrollton, 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 Dec 3, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.