Active NPI
Luminary Hospice of Fort Worth, LLC
- Community Based Hospice Care Agency
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- Enrollment address
- 505 Pecan St
Ste 100
Fort Worth, TX 76102-4072
Care Compare: Hospice
Medicare Care Compare- Listed as
- Luminary Hospice
- Certified
- Nov 26, 2025
- 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 |
|---|---|---|---|
| 45D2321828 | Luminary Hospice | Certificate of waiver | Apr 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Luminary Hospice, LLC | 5% Or Greater Direct Ownership Interest | Nov 6, 2024 | 100% |
| Nicole Hayek 2021 Irrevocable Trust | 5% Or Greater Indirect Ownership Interest | Nov 6, 2024 | 15.39% |
| Sherman Lake | Corporate Officer | Jan 14, 2025 | |
| Triple Aim Partners, LLC | 5% Or Greater Indirect Ownership Interest | Nov 6, 2024 | 85.52% |
| Seth Rainford | Corporate Officer | Jan 14, 2025 | |
| Andrew Hayek 2021 Irrevocable Trust | 5% Or Greater Indirect Ownership Interest | Nov 6, 2024 | 15.39% |
| Anthony Henry | Corporate Officer | Jan 14, 2025 | |
| Harmony Ridge, LLC | 5% Or Greater Indirect Ownership Interest | Nov 6, 2024 | 30.79% |
| Donnis M Evans | W-2 Managing Employee | Dec 9, 2024 | |
| Andrew P Hayek | Corporate Officer | Jan 14, 2025 | |
| MSJL, LLC | 5% Or Greater Indirect Ownership Interest | Nov 6, 2024 | 20.52% |
| The Cory P Roberts 2025 Irrevocable Trust | 5% Or Greater Indirect Ownership Interest | Nov 6, 2024 | 20.52% |
| Heidi Ehle | Corporate Officer | Jan 14, 2025 | |
| Cory P Roberts Revocable Trust | 5% Or Greater Indirect Ownership Interest | Nov 6, 2024 | 13.68% |
| Cynthia Douglas | Corporate Officer | Jan 14, 2025 | |
| Henry Dollahite | W-2 Managing Employee | May 1, 2025 | |
| Other | May 1, 2025 | ||
| Tap Hospice, LLC | 5% Or Greater Indirect Ownership Interest | Nov 6, 2024 | 89.74% |
| Andrew Hayek 2008 Living Trust | 5% Or Greater Indirect Ownership Interest | Nov 6, 2024 | 20.52% |
| Marguerite a Lineteau | W-2 Managing Employee | Feb 10, 2025 | |
| Cory Roberts | 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.
-
- Adult Medicine Physician
- Fort Worth, TX
- NPI 1104243468
Other, W-2 Managing Employee
Facilities with the same owner 5
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Irving, TX
- NPI 1568258200
Andrew Hayek 2008 Living Trust, Andrew Hayek 2021 Irrevocable Trust, Cory P Roberts Revocable Trust, Harmony Ridge, LLC, Luminary Hospice, LLC, MSJL, LLC, Nicole Hayek 2021 Irrevocable Trust, Tap Hospice, LLC, The Cory P Roberts 2025 Irrevocable T
-
- Community Based Hospice Care Agency
- Fort Wayne, IN
- NPI 1700684594
Andrew Hayek 2008 Living Trust, Andrew Hayek 2021 Irrevocable Trust, Cory P Roberts Revocable Trust, Harmony Ridge, LLC, Luminary Hospice, LLC, MSJL, LLC, Nicole Hayek 2021 Irrevocable Trust, Tap Hospice, LLC, The Cory P Roberts 2025 Irrevocable T
-
- Community Based Hospice Care Agency
- Carmel, IN
- NPI 1326764861
Andrew Hayek 2008 Living Trust, Andrew Hayek 2021 Irrevocable Trust, Cory P Roberts Revocable Trust, Harmony Ridge, LLC, Luminary Hospice, LLC, MSJL, LLC, Nicole Hayek 2021 Irrevocable Trust, Tap Hospice, LLC, The Cory P Roberts 2025 Irrevocable T
-
- Community Based Hospice Care Agency
- Kansas City, MO
- NPI 1902604796
Andrew Hayek 2008 Living Trust, Andrew Hayek 2021 Irrevocable Trust, Cory P Roberts Revocable Trust, Harmony Ridge, LLC, Luminary Hospice, LLC, MSJL, LLC, Nicole Hayek 2021 Irrevocable Trust, Tap Hospice, LLC, The Cory P Roberts 2025 Irrevocable T
-
- Community Based Hospice Care Agency
- Columbus, OH
- NPI 1144906314
Andrew Hayek 2008 Living Trust, Cory P Roberts Revocable Trust, Harmony Ridge, LLC, Luminary Hospice, LLC, MSJL, LLC, Nicole Hayek 2021 Irrevocable Trust, Tap Hospice, LLC, The Cory P Roberts 2025 Irrevocable Trust, Triple Aim Partners, LLC
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.