Organization Active NPI

Anew Hospice Care Inc

  • Community Based Hospice Care Agency
  • Commerce, TX
National Provider Identifier
1609248020
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ANEW HOSPICE CARE INC
Practice address
2104 Monroe St Ste E
Commerce, TX 75428-4001
Phone
(903) 886-2639
Fax
(903) 886-2642
NPI assigned
Oct 25, 2015
Last updated
May 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Authorized official

Name
Amy Caldwell
Title
Cfo
Phone
(903) 886-2639

Specialties & licenses 1

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

Addresses

Primary practice location

2104 Monroe St Ste E
Commerce, TX 75428-4001

Mailing address

2104 Monroe St Ste E
Commerce, TX 75428-4001
Phone (903) 886-2639

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161215002216 TX Part A Provider - Hospice 8921388620 Practice locations: Greenville, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609248020. Details of each certification follow.

Hospice certification: CCN 741678

Legal name
ANEW HOSPICE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 9, 2017
Last certification
Sep 16, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Oct 8, 2015 in TX
Enrollment address
4216 Wesley St
Ste 101
Greenville, TX 75401-5638

Care Compare: Hospice

Medicare Care Compare
Listed as
Anew Hospice Care IncCCN 741678 · All quality measures
Ownership
For-Profit
Certified
Jul 9, 2017
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
45D2119824Anew Hospice Care Inc4216 Wesley Street Suite 101, Greenville, TX 75401Certificate of waiverOct 3, 2026

National Provider Directory

National Provider Directory

Locations

5616 SW Green Oaks Blvd
Ste E
Arlington, TX 76017
Phone (817) 483-2221

2104 Monroe St
Ste E
Commerce, TX 75428
Phone (903) 886-2639

4216 Wesley St
Ste 101
Greenville, TX 75401
Phone (903) 886-2639

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Lisa R Goodwin Individual 5% Or Greater Direct Ownership Interest Nov 3, 2021 50%
W-2 Managing EmployeeAd; Dec 21, 2017 25%
Operational/Managerial Control Dec 21, 2017 50%
Gina S Rushing Individual Contracted Managing EmployeeMD; Dec 21, 2017
Richard N Caldwell Individual 5% Or Greater Direct Ownership Interest Nov 3, 2021 50%
Corporate DirectorBoard of Directors President Dec 21, 2017 100%
W-2 Managing EmployeeBoard of Directors President Dec 21, 2017 100%
Operational/Managerial Control Dec 21, 2017 25%
Shannon Shannon Individual Operational/Managerial ControlAlternate Director of Nurses Dec 21, 2017 25%
Amy L Caldwell Individual Corporate OfficerChief Financial Officer Dec 21, 2017 50%

Owners & managing parties with NPI records 1

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

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": "1445731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1609248020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 MONROE ST STE E",
            "city": "COMMERCE",
            "state": "TX",
            "postal_code": "754284001",
            "telephone_number": "903-886-2639",
            "fax_number": "903-886-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 MONROE ST STE E",
            "city": "COMMERCE",
            "state": "TX",
            "postal_code": "754284001",
            "telephone_number": "903-886-2639",
            "fax_number": "903-886-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANEW HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-25",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "903-886-2639"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce, TX

Sources for this page

Verify at the official NPI Registry.