Blessed Hope Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BLESSED HOPE HOSPICE LLC

Practice address

7404 Lake Front TRL
Arlington, TX 76002-4753

Phone

(817) 721-2533

NPI assigned

Oct 18, 2023

Organization subpart

No

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

Authorized official

Name

Maria Sorisantos

Title

Owner

Phone

(817) 721-2533

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN A91750

Legal name

BLESSED HOPE HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 10, 2024

Last certification

Nov 27, 2024

Organization structure

LLCProprietary

Incorporated

Oct 16, 2023 in TX

Enrollment address

7404 Lake Front TRL
Arlington, TX 76002-4753

Listed as

Blessed Hope Hospice LLCCCN A91750

Certified

Dec 10, 2024

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

Owners & managing parties with NPI records 1

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

• Syed M Jamal, MD

  • Internal Medicine Physician
  • Jacksboro, TX
  • NPI 1437157419

  Contracted Managing Employee

  CMS ownership

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1629850201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7404 LAKE FRONT TRL",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024753",
            "telephone_number": "817-721-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7404 LAKE FRONT TRL",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024753",
            "telephone_number": "817-721-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED HOPE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "SORISANTOS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-721-2533"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.

Verify at the official NPI Registry.