Organization Active NPI

Pelican Hospice LLC

  • Community Based Hospice Care Agency
  • Dallas, TX
National Provider Identifier
1649961582
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PELICAN HOSPICE LLC
Practice address
1140 Empire Central Dr Ste 655
Dallas, TX 75247-4322
Phone
(972) 302-9756
NPI assigned
May 19, 2023
Last updated
Apr 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Mr. Varghese Zacharia
Title
Owner
Phone
(972) 302-9756

Specialties & licenses 1

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

Addresses

Primary practice location

1140 Empire Central Dr Ste 655
Dallas, TX 75247-4322

Mailing address

1140 Empire Central Dr Ste 655
Dallas, TX 75247-4322
Phone (972) 302-9756

Care Compare: Hospice

Medicare Care Compare
Listed as
Pelican Hospice LLCCCN A91768
Certified
Jun 10, 2025
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

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
45D2285026Pelican Hospice LLC1140 Empire Central Dr Ste 655, Dallas, TX 75247Certificate of waiverJul 4, 2027

National Provider Directory

National Provider Directory

Locations

1140 Empire Central Dr
Ste 655
Dallas, TX 75247
Phone (972) 302-9756

2655 Villa Creek Dr
Ste 235L
Dallas, TX 75234

2735 Villa Creek Dr
Ste 130L
Dallas, TX 75234
Phone (972) 302-9756

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1649961582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 EMPIRE CENTRAL DR STE 655",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474322",
            "telephone_number": "972-302-9756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 EMPIRE CENTRAL DR STE 655",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474322",
            "telephone_number": "972-302-9756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "ZACHARIA",
        "authorized_official_first_name": "VARGHESE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-302-9756",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "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 Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.