NPIMap

Organization Active NPI

CCC Hospice LLC

Doing business as Bella Hospice of Texas

  • Community Based Hospice Care Agency
  • Mesquite, TX
National Provider Identifier
1609504844
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CCC HOSPICE LLC
Doing business as
Bella Hospice of Texas
Practice address
900 Wiggins Pkwy Ste a
Mesquite, TX 75150-1400
Phone
(972) 686-3753
Fax
(972) 682-7947
NPI assigned
Aug 14, 2022
Last updated
May 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Josh Rosen
Title
Manager
Phone
(469) 619-5372

Specialties & licenses 1

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

Addresses

Primary practice location

900 Wiggins Pkwy Ste a
Mesquite, TX 75150-1400

Mailing address

900 Wiggins Pkwy Ste a
Mesquite, TX 75150-1400
Phone (972) 686-3753

Other names 1

  • Bella Hospice of Texas Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230130002267 TX Part A Provider - Hospice 4385015346 Practice locations: Mesquite, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609504844. Details of each certification follow.

Hospice certification: CCN 671548

Legal name
CCC HOSPICE LLC
Doing business as
BELLA HOSPICE OF TEXAS
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 24, 2006
Last certification
Aug 5, 2021
Ownership / control type
Proprietary - Partnership
Organization structure
LLCProprietary
Enrollment address
900 Wiggins Pkwy
Ste a
Mesquite, TX 75150-1400

Care Compare: Hospice

Medicare Care Compare
Listed as
Bella Hospice of TexasCCN 671548 · All quality measures
Ownership
Non-Profit
Certified
Oct 24, 2006
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
45D0909533Bella Hospice of Texas900 Wiggins Parkway Suite a, Mesquite, TX 75150Certificate of waiverDec 7, 2027

National Provider Directory

National Provider Directory

Locations

900 Wiggins Pkwy
Ste A
Mesquite, TX 75150
Phone (972) 686-3753

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Milledge Avenue Development Group LLC Organization, Atlanta, GA LLC 5% Or Greater Indirect Ownership Interest Feb 1, 2023 30%
Wilford Albert Payne Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2022 40%
Corporate DirectorManager Dec 1, 2022
Nortex HHH Holdco LLC Organization, Dallas, TX LLC 5% Or Greater Direct Ownership Interest Dec 1, 2022 100%
Patricia Patterson Individual Corporate OfficerEx VP Dec 1, 2022
W-2 Managing EmployeeEx VP Dec 1, 2022
John F. McMullan Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2023 30%
Payne Home Health Holdings LLC Organization, Hattiesburg, MS LLC 5% Or Greater Indirect Ownership Interest Feb 1, 2023 40%
Joshua Brett Rosen Individual 5% Or Greater Indirect Ownership Interest Dec 1, 2022 10.5%
Payne Companies LLC Organization, Hattiesburg, MS LLC 5% Or Greater Indirect Ownership Interest Dec 1, 2022 40%
Bordeaux Capital, LLC Organization, Dallas, TX LLC 5% Or Greater Indirect Ownership Interest Feb 1, 2023 30%
Mayfair Management LLC Organization, Hattiesburg, MS LLC Operational/Managerial Control Dec 1, 2022 100%
Sara Johnson Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2023 19.5%

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Change-of-ownership history 1

DateEventCounterparty
Dec 1, 2022 Change of OwnershipThis provider was the buyer Christian Care HospiceCCN 671548, TX, NPI 1548203011

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1660435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1609504844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WIGGINS PKWY STE A",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751501400",
            "telephone_number": "972-686-3753",
            "fax_number": "972-682-7947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WIGGINS PKWY STE A",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751501400",
            "telephone_number": "972-686-3753",
            "fax_number": "972-682-7947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCC HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-14",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-619-5372"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bella Hospice of Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.