Active NPI
Novel Hospice Care Inc
- Community Based Hospice Care Agency
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Care
- Ownership
- For-Profit
- Certified
- May 10, 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 |
|---|---|---|---|
| 45D2120189 | Novel Hospice Care Inc | Certificate of waiver | Oct 11, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ivert Tambe | 5% Or Greater Direct Ownership Interest | Feb 19, 2015 | 50% |
| Corporate Officer | Feb 19, 2015 | ||
| Corporate Director | Feb 19, 2015 | ||
| W-2 Managing Employee | Feb 19, 2015 | ||
| Operational/Managerial Control | Feb 19, 2015 | ||
| Syed M a Jamal | Contracted Managing Employee | Sep 15, 2025 | 2% |
| David Tambe | 5% Or Greater Direct Ownership Interest | Feb 19, 2015 | 50% |
| Corporate Officer | Feb 19, 2015 | ||
| Corporate Director | Feb 19, 2015 | ||
| W-2 Managing Employee | Feb 19, 2015 | ||
| Operational/Managerial Control | 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.
-
- Internal Medicine Physician
- Jacksboro, TX
- NPI 1437157419
Contracted Managing Employee
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.