Active NPI
Proteam Hospice LLC
- Community Based Hospice Care Agency
- Dallas, TX
National Provider Identifier
1629806740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- PROTEAM HOSPICE LLC
- Practice address
- 10935 Estate LN Ste 190
Dallas, TX 75238-2371 - Phone
- (214) 272-8824
- NPI assigned
- Jul 22, 2024
- 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
- Corine Ngaha
- Title
- Administrator
- Phone
- (972) 688-6374
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
10935 Estate LN Ste 190
Dallas, TX 75238-2371
Mailing address
10935 Estate LN Ste 190
Dallas, TX 75238-2371
Phone (972) 688-6374
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250226003368 | TX | Part A Provider - Hospice | 7113447624 | Practice locations: Dallas, TX |
Hospice certification: CCN E21504
- Legal name
- PROTEAM HOSPICE LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Dec 11, 2025
- Last certification
- Nov 26, 2025
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Incorporated
- Jul 18, 2024 in TX
- Enrollment address
- 10935 Estate LN
Ste 190
Dallas, TX 75238-2371
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Corine Ngaha | 5% Or Greater Direct Ownership Interest | Jul 18, 2024 | 100% |
| W-2 Managing Employee | Jul 18, 2024 | 100% | |
| Shliea K Tabbytite | W-2 Managing Employee | Oct 14, 2024 | 50% |
| Jessica Eben | W-2 Managing Employee | Oct 14, 2024 | 50% |
| Sumana Ketha | Contracted Managing Employee | Oct 14, 2024 | 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": "1721606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785974400000",
"number": "1629806740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10935 ESTATE LN STE 190",
"city": "DALLAS",
"state": "TX",
"postal_code": "752382371",
"telephone_number": "972-688-6374",
"fax_number": "972-688-6032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10935 ESTATE LN STE 190",
"city": "DALLAS",
"state": "TX",
"postal_code": "752382371",
"telephone_number": "214-272-8824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROTEAM HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-22",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A",
"authorized_official_last_name": "NGAHA",
"authorized_official_first_name": "CORINE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "972-688-6374"
},
"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 Aug 6, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.