Organization Active NPI

Novel Hospice Care Inc

  • Community Based Hospice Care Agency
  • Dallas, TX
National Provider Identifier
1609260900
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
NOVEL HOSPICE CARE INC
Practice address
7920 Belt Line Rd
Suite 255
Dallas, TX 75254-8145
Phone
(972) 994-9395
Fax
(972) 994-9398
NPI assigned
Mar 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Authorized official

Name
David Tambe
Title
Cfo
Phone
(972) 994-9395

Specialties & licenses 1

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

Addresses

Primary practice location

7920 Belt Line Rd
Suite 255
Dallas, TX 75254-8145

Mailing address

7920 Belt Line Rd
Suite 255
Dallas, TX 75254-8145
Phone (972) 994-9395

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161020002132 TX Part A Provider - Hospice 1355629692 Practice locations: Dallas, TX

Hospice certification: CCN 741666

Legal name
NOVEL HOSPICE CARE INC
Doing business as
NOVEL HOSPICE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 10, 2017
Last certification
May 8, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Feb 19, 2015 in TX
Enrollment address
7920 Belt Line Rd
Ste 255a
Dallas, TX 75254

Care Compare: Hospice

Medicare Care Compare
Listed as
Novel Hospice CareCCN 741666
Ownership
For-Profit
Certified
May 10, 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
45D2120189Novel Hospice Care Inc7920 Belt Line Road, Suite 255-a, Dallas, TX 75254Certificate of waiverOct 11, 2026

National Provider Directory

National Provider Directory

Locations

7920 Belt Line Rd
Ste 255
Dallas, TX 75254
Phone (972) 994-9395

7920 Belt Line Rd
Ste 255A
Dallas, TX 75254
Phone (972) 994-9395

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Ivert Tambe Individual 5% Or Greater Direct Ownership InterestOwner Feb 19, 2015 50%
Corporate OfficerCeo Feb 19, 2015
Corporate DirectorCeo Feb 19, 2015
W-2 Managing EmployeeAd; Feb 19, 2015
Operational/Managerial ControlAdministrator Feb 19, 2015
Syed M a Jamal Individual Contracted Managing EmployeeMD; Sep 15, 2025 2%
David Tambe Individual 5% Or Greater Direct Ownership InterestOwner Feb 19, 2015 50%
Corporate OfficerCfo Feb 19, 2015
Corporate DirectorCfo Feb 19, 2015
W-2 Managing EmployeeBusiness Manager Feb 19, 2015
Operational/Managerial ControlBusiness Manager Feb 19, 2015 50%

Owners & managing parties with NPI records 1

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

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1609260900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 BELT LINE RD",
            "address_2": "SUITE 255",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548145",
            "telephone_number": "972-994-9395",
            "fax_number": "972-994-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7920 BELT LINE RD",
            "address_2": "SUITE 255",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752548145",
            "telephone_number": "972-994-9395",
            "fax_number": "972-994-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVEL HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "TAMBE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "972-994-9395"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.