Active NPI
Elysian Hospice LLC
- Community Based Hospice Care Agency
- Addison, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ELYSIAN HOSPICE LLC
- Practice address
- 16750 Westgrove Dr
Suite 100
Addison, TX 75001-5688 - Phone
- (972) 224-1876
- Fax
- (972) 224-1494
- NPI assigned
- Mar 20, 2008
- Last updated
- Aug 28, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robin F Underhill
- Title
- Ceo
- Phone
- (214) 954-4114
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary | ||
| Inpatient Hospice | 315D00000X |
Addresses
Primary practice location
16750 Westgrove Dr
Suite 100
Addison, TX 75001-5688
Mailing address
16750 Westgrove Dr
Suite 100
Addison, TX 75001-5688
Phone (972) 224-1876
Other practice location 1
675 N Henderson St Ste 400B
Fort Worth, TX 76107-1479
Phone (682) 610-7686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080609000366 | TX | Part A Provider - Hospice | 7719057363 | Practice locations: Addison, TX; Fort Worth, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1568633220. Details of each certification follow.
Hospice certification: CCN 671613
- Legal name
- ELYSIAN HOSPICE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Nov 11, 2008
- Last certification
- Mar 10, 2022
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Mar 5, 2008 in TX
- Enrollment address
- 16750 Westgrove Dr
Ste 100
Addison, TX 75001-5624
Care Compare: Hospice
Medicare Care Compare- Listed as
- Elysian Hospice LLC
- Ownership
- For-Profit
- Certified
- Nov 11, 2008
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2030960 | Elysian Hospice, LLC | Certificate of waiver | Oct 9, 2027 |
National Provider Directory
National Provider DirectoryMember organizations 2
Organizations listed as members of this organization in the National Provider Directory.
-
dba Elysian Hospice
- Community Based Hospice Care Agency
- Stafford, TX
- NPI 1881053643
Member Of
-
dba Elysian Hospice
- Community Based Hospice Care Agency
- San Antonio, TX
- NPI 1851885172
Member Of
Locations
6221 Southwest Blvd
Ste 200A
Benbrook, TX 76132
Phone (682) 610-7686
675 N Henderson St
Ste 400B
Fort Worth, TX 76107
Phone (682) 610-7686
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ontex, Inc | 5% Or Greater Indirect Ownership Interest | Mar 5, 2008 | 27.3% |
| Medcare Management Holdings Inc | 5% Or Greater Indirect Ownership Interest | Mar 5, 2008 | 23.5% |
| Bratex, Inc. | 5% Or Greater Indirect Ownership Interest | Mar 5, 2008 | 13.65% |
| Concord Wood Investments, LTD | 5% Or Greater Indirect Ownership Interest | Aug 1, 2011 | 15.55% |
| Cantex Continuing Care Network LLC | 5% Or Greater Direct Ownership Interest | Aug 1, 2011 | 100% |
| Gamtex, Inc | 5% Or Greater Indirect Ownership Interest | Oct 17, 2000 | 13.65% |
| Joseph Bell | 5% Or Greater Indirect Ownership Interest | Mar 5, 2008 | 50% |
| LB Belon LLC | 5% Or Greater Indirect Ownership Interest | Mar 5, 2008 | 11.8% |
| Peter Longo | 5% Or Greater Indirect Ownership Interest | Mar 5, 2008 | 50% |
| Cantex Health Care Centers II LLC | 5% Or Greater Indirect Ownership Interest | Nov 5, 2004 | 33% |
| Sara Heistand | W-2 Managing Employee | Jun 12, 2024 | |
| Melinda Williams | Operational/Managerial Control | Jul 17, 2023 | |
| Cantex Health Care Centers LLC | 5% Or Greater Indirect Ownership Interest | Jan 4, 2018 | 34% |
| Robin F Underhill | Corporate Officer | Mar 5, 2008 | |
| W-2 Managing Employee | May 1, 2008 | ||
| Cantex Health Care Centers III LLC | 5% Or Greater Indirect Ownership Interest | Mar 18, 2008 | 33% |
| Biju B Mathew | Contracted Managing Employee | Jul 17, 2023 | |
| Gotex Investments (USA), Inc. | 5% Or Greater Indirect Ownership Interest | Jun 22, 2011 | 10.1% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1700170867
Contracted Managing Employee
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Elysian Hospice | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Mar 14, 2016 |
| Elysian Hospice | Hospice | 5% Or Greater Direct Ownership Interest (100%) | Jun 13, 2018 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Elysian Hospice
- Community Based Hospice Care Agency
- Stafford, TX
- NPI 1881053643
5% Or Greater Direct Ownership Interest
-
dba Elysian Hospice
- Community Based Hospice Care Agency
- San Antonio, TX
- NPI 1851885172
5% Or Greater Direct Ownership Interest
Facilities with the same owner 8
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Theracare Home Health
- Home Health Agency
- Round Rock, TX
- NPI 1245672310
Bratex, Inc., Cantex Health Care Centers II LLC, Cantex Health Care Centers III LLC, Cantex Health Care Centers LLC, Concord Wood Investments, LTD, Gamtex, Inc, Gotex Investments (USA), Inc., LB Belon LLC, Medcare Management Holdings Inc, Ontex,
-
dba TheraCare Home Health
- Home Health Agency
- San Antonio, TX
- NPI 1356782536
Bratex, Inc., Cantex Health Care Centers II LLC, Cantex Health Care Centers III LLC, Cantex Health Care Centers LLC, Concord Wood Investments, LTD, Gamtex, Inc, Gotex Investments (USA), Inc., LB Belon LLC, Medcare Management Holdings Inc, Ontex,
-
dba TheraCare Home Health
- Home Health Agency
- Stafford, TX
- NPI 1962781443
Bratex, Inc., Cantex Health Care Centers II LLC, Cantex Health Care Centers III LLC, Cantex Health Care Centers LLC, Concord Wood Investments, LTD, Gamtex, Inc, Gotex Investments (USA), Inc., Medcare Management Holdings Inc, Ontex, Inc
-
dba TheraCare Home Health
- Home Health Agency
- Addison, TX
- NPI 1689953168
Bratex, Inc., Cantex Health Care Centers II LLC, Cantex Health Care Centers III LLC, Cantex Health Care Centers LLC, Concord Wood Investments, LTD, Gamtex, Inc, Gotex Investments (USA), Inc., Medcare Management Holdings Inc, Ontex, Inc
-
dba TheraCare Home Health
- Home Health Agency
- Conroe, TX
- NPI 1619457579
Bratex, Inc., Cantex Health Care Centers II LLC, Cantex Health Care Centers III LLC, Cantex Health Care Centers LLC, Concord Wood Investments, LTD, Gamtex, Inc, Gotex Investments (USA), Inc., LB Belon LLC, Medcare Management Holdings Inc, Ontex,
-
dba TheraCare Home Health
- Home Health Agency
- Fort Worth, TX
- NPI 1497235352
Bratex, Inc., Cantex Health Care Centers II LLC, Cantex Health Care Centers III LLC, Cantex Health Care Centers LLC, Concord Wood Investments, LTD, Gamtex, Inc, Gotex Investments (USA), Inc., LB Belon LLC, Medcare Management Holdings Inc, Ontex,
-
dba Elysian Hospice
- Community Based Hospice Care Agency
- Stafford, TX
- NPI 1881053643
Bratex, Inc., Cantex Continuing Care Network LLC, Cantex Health Care Centers II LLC, Cantex Health Care Centers III LLC, Cantex Health Care Centers LLC, Concord Wood Investments, LTD, Gamtex, Inc, Gotex Investments (USA), Inc., LB Belon LLC, Medc
-
dba Elysian Hospice
- Community Based Hospice Care Agency
- San Antonio, TX
- NPI 1851885172
Bratex, Inc., Cantex Continuing Care Network LLC, Cantex Health Care Centers II LLC, Cantex Health Care Centers III LLC, Cantex Health Care Centers LLC, Concord Wood Investments, LTD, Gotex Investments (USA), Inc., LB Belon LLC, Medcare Management
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": "1205971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756339200000",
"number": "1568633220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16750 WESTGROVE DR",
"address_2": "SUITE 100",
"city": "ADDISON",
"state": "TX",
"postal_code": "750015688",
"telephone_number": "972-224-1876",
"fax_number": "972-224-1494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16750 WESTGROVE DR",
"address_2": "SUITE 100",
"city": "ADDISON",
"state": "TX",
"postal_code": "750015688",
"telephone_number": "972-224-1876",
"fax_number": "972-224-1494"
}
],
"practiceLocations": [
{
"address_1": "675 N Henderson St Ste 400B",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761071479",
"country_code": "US",
"telephone_number": "682-610-7686",
"fax_number": "862-610-7687",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ELYSIAN HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-20",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A",
"authorized_official_last_name": "UNDERHILL",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "214-954-4114"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
},
{
"code": "315D00000X",
"taxonomy_group": "",
"desc": "Hospice, Inpatient",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Addison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.