Organization Active NPI

Elysian Hospice LLC

  • Community Based Hospice Care Agency
  • Addison, TX
National Provider Identifier
1568633220
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 671613 · All quality measures
Ownership
For-Profit
Certified
Nov 11, 2008
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
45D2030960Elysian Hospice, LLC16750 Westgrove Drive Suite 100, Addison, TX 75001Certificate of waiverOct 9, 2027

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

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.

NameRoleSinceShare
Ontex, Inc Organization, Carrollton, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 5, 2008 27.3%
Medcare Management Holdings Inc Organization, Carrollton, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 5, 2008 23.5%
Bratex, Inc. Organization, Carrollton, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Mar 5, 2008 13.65%
Concord Wood Investments, LTD Organization, Carrollton, TX LLC 5% Or Greater Indirect Ownership Interest Aug 1, 2011 15.55%
Cantex Continuing Care Network LLC Organization, Carrollton, TX LLC 5% Or Greater Direct Ownership Interest Aug 1, 2011 100%
Gamtex, Inc Organization, Carrollton, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Oct 17, 2000 13.65%
Joseph Bell Individual 5% Or Greater Indirect Ownership Interest Mar 5, 2008 50%
LB Belon LLC Organization, Carrollton, TX LLC 5% Or Greater Indirect Ownership Interest Mar 5, 2008 11.8%
Peter Longo Individual 5% Or Greater Indirect Ownership Interest Mar 5, 2008 50%
Cantex Health Care Centers II LLC Organization, Carrollton, TX LLC, For-profit 5% Or Greater Indirect Ownership Interest Nov 5, 2004 33%
Sara Heistand Individual W-2 Managing EmployeeAd; Jun 12, 2024
Melinda Williams Individual Operational/Managerial ControlVice President HCBS Jul 17, 2023
Cantex Health Care Centers LLC Organization, Carrollton, TX LLC, For-profit 5% Or Greater Indirect Ownership Interest Jan 4, 2018 34%
Robin F Underhill Individual Corporate OfficerChief Executive Officer Mar 5, 2008
W-2 Managing EmployeeChief Executive Officer May 1, 2008
Cantex Health Care Centers III LLC Organization, Carrollton, TX LLC 5% Or Greater Indirect Ownership Interest Mar 18, 2008 33%
Biju B Mathew Individual Contracted Managing EmployeeMD; Jul 17, 2023
Gotex Investments (USA), Inc. Organization, Carrollton, TX Corporation, For-profit 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.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Elysian HospiceStafford, TX, CCN 671786 Hospice 5% Or Greater Direct Ownership Interest (100%) Mar 14, 2016
Elysian HospiceSan Antonio, TX, CCN 741671 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.

Facilities with the same owner 8

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

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

Verify at the official NPI Registry.