Active NPI
Anew Hospice Care Inc
- Community Based Hospice Care Agency
- Commerce, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2018
- 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
- Amy Caldwell
- Title
- Cfo
- Phone
- (903) 886-2639
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Ownership
- For-Profit
- Certified
- Jul 9, 2017
- 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 |
|---|---|---|---|
| 45D2119824 | Anew Hospice Care Inc | Certificate of waiver | Oct 3, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Lisa R Goodwin | 5% Or Greater Direct Ownership Interest | Nov 3, 2021 | 50% |
| W-2 Managing Employee | Dec 21, 2017 | 25% | |
| Operational/Managerial Control | Dec 21, 2017 | 50% | |
| Gina S Rushing | Contracted Managing Employee | Dec 21, 2017 | |
| Richard N Caldwell | 5% Or Greater Direct Ownership Interest | Nov 3, 2021 | 50% |
| Corporate Director | Dec 21, 2017 | 100% | |
| W-2 Managing Employee | Dec 21, 2017 | 100% | |
| Operational/Managerial Control | Dec 21, 2017 | 25% | |
| Shannon Shannon | Operational/Managerial Control | Dec 21, 2017 | 25% |
| Amy L Caldwell | Corporate 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.
-
- Family Medicine Physician
- Greenville, TX
- NPI 1922056845
Contracted Managing Employee
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.