Organization Active NPI

Luminary Hospice of Fort Worth, LLC

  • Community Based Hospice Care Agency
  • Fort Worth, TX
National Provider Identifier
1598569345
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LUMINARY HOSPICE OF FORT WORTH, LLC
Practice address
505 Pecan St Ste 100
Fort Worth, TX 76102-4072
Phone
(615) 310-2204
NPI assigned
Apr 2, 2025
Organization subpart
Yes
Parent organization
LUMINARY HOSPICE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Mr. Seth Rainford
Title
Ceo
Phone
(630) 864-8820

Specialties & licenses 1

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

Addresses

Primary practice location

505 Pecan St Ste 100
Fort Worth, TX 76102-4072

Mailing address

505 Pecan St Ste 100
Fort Worth, TX 76102-4072
Phone (817) 953-2671

Other names 1

  • Luminary Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250828001837 TX Part A Provider - Hospice 8426559857 Practice locations: Fort Worth, TX

Hospice certification: CCN A91790

Legal name
LUMINARY HOSPICE OF FORT WORTH, LLC
Doing business as
LUMINARY HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 26, 2025
Last certification
Nov 12, 2025
Ownership / control type
Other
Organization structure
LLCProprietary
Enrollment address
505 Pecan St
Ste 100
Fort Worth, TX 76102-4072

Care Compare: Hospice

Medicare Care Compare
Listed as
Luminary HospiceCCN A91790
Certified
Nov 26, 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
45D2321828Luminary Hospice505 Pecan Street Ste 100, Fort Worth, TX 76102Certificate of waiverApr 9, 2027

National Provider Directory

National Provider Directory

Locations

505 Pecan St
Ste 100
Fort Worth, TX 76102
Phone (615) 310-2204

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Luminary Hospice, LLC Organization, Brentwood, TN LLC 5% Or Greater Direct Ownership Interest Nov 6, 2024 100%
Nicole Hayek 2021 Irrevocable Trust Organization, Glencoe, IL 5% Or Greater Indirect Ownership Interest Nov 6, 2024 15.39%
Sherman Lake Individual Corporate OfficerChief of Staff Jan 14, 2025
Triple Aim Partners, LLC Organization, Glencoe, IL LLC 5% Or Greater Indirect Ownership Interest Nov 6, 2024 85.52%
Seth Rainford Individual Corporate Officer Jan 14, 2025
Andrew Hayek 2021 Irrevocable Trust Organization, Glencoe, IL 5% Or Greater Indirect Ownership Interest Nov 6, 2024 15.39%
Anthony Henry Individual Corporate OfficerCpo Jan 14, 2025
Harmony Ridge, LLC Organization, Glencoe, IL LLC 5% Or Greater Indirect Ownership Interest Nov 6, 2024 30.79%
Donnis M Evans Individual W-2 Managing EmployeeManager, Regulatory Practices Dec 9, 2024
Andrew P Hayek Individual Corporate Officer Jan 14, 2025
MSJL, LLC Organization, Atlanta, GA LLC 5% Or Greater Indirect Ownership Interest Nov 6, 2024 20.52%
The Cory P Roberts 2025 Irrevocable Trust Organization, Atlanta, GA 5% Or Greater Indirect Ownership Interest Nov 6, 2024 20.52%
Heidi Ehle Individual Corporate OfficerVP, Quality & Compliance Jan 14, 2025
Cory P Roberts Revocable Trust Organization, Atlanta, GA 5% Or Greater Indirect Ownership Interest Nov 6, 2024 13.68%
Cynthia Douglas Individual Corporate OfficerCoo Jan 14, 2025
Henry Dollahite Individual W-2 Managing EmployeeMD; May 1, 2025
Other May 1, 2025
Tap Hospice, LLC Organization, Glencoe, IL LLC 5% Or Greater Indirect Ownership Interest Nov 6, 2024 89.74%
Andrew Hayek 2008 Living Trust Organization, Glencoe, IL 5% Or Greater Indirect Ownership Interest Nov 6, 2024 20.52%
Marguerite a Lineteau Individual W-2 Managing EmployeeHospice Administrator Feb 10, 2025
Cory Roberts Individual Corporate Officer Jan 14, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 5

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

NPI Registry JSON

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1598569345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PECAN ST STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024072",
            "telephone_number": "817-953-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PECAN ST STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761024072",
            "telephone_number": "615-310-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMINARY HOSPICE OF FORT WORTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LUMINARY HOSPICE, LLC",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "RAINFORD",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "630-864-8820",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luminary Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Luminary Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.