Organization Active NPI

Traditions Hospice of Tyler, LLC

Doing business as Traditions Health

  • Community Based Hospice Care Agency
  • Tyler, TX
National Provider Identifier
1669897112
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
TRADITIONS HOSPICE OF TYLER, LLC
Doing business as
Traditions Health
Practice address
1820 Shiloh Rd Suite 1105
Tyler, TX 75703-2426
Phone
(903) 787-5897
Fax
(903) 787-5912
NPI assigned
Feb 20, 2014
Last updated
Nov 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Authorized official

Name
Brian Lantier
Title
President & Ceo
Phone
(979) 704-6547

Specialties & licenses 1

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

Addresses

Primary practice location

1820 Shiloh Rd Suite 1105
Tyler, TX 75703-2426

Mailing address

6840 Carothers Pkwy Ste 550
Franklin, TN 37067-8002
Phone (979) 704-6547

Other practice location 1

333 E Bethany Dr Ste K120
Allen, TX 75002-3832
Phone (972) 954-3604

Other names 1

  • Traditions Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190417001102 TX Part A Provider - Hospice 7113268319 Practice locations: Tyler, TX; Allen, TX
O20220418000842 TX Part B Supplier - Clinic/Group Practice 7113268319 Receives reassigned benefits from 1 practitioner
Practice locations: Tyler, TX; Allen, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669897112. Details of each certification follow.

Hospice certification: CCN 671592

Legal name
TRADITIONS HOSPICE OF TYLER LLC
Doing business as
TRADITIONS HEALTH
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 14, 2008
Last certification
Dec 18, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Jan 4, 2019 in DE
Enrollment address
1820 Shiloh Rd
Ste 1105
Tyler, TX 75703-2458

Care Compare: Hospice

Medicare Care Compare
Listed as
Traditions HealthCCN 671592 · All quality measures
Ownership
For-Profit
Certified
Mar 14, 2008
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
45D2162589Traditions Hospice of Tyler LLC1820 Shiloh Road, Suite 1105, Tyler, TX 75703Certificate of waiverFeb 25, 2027

National Provider Directory

National Provider Directory

Locations

333 E Bethany Dr
Ste K120
Allen, TX 75002
Phone (972) 954-3604

1820 Shiloh Rd
Ste 1105
Tyler, TX 75703
Phone (903) 360-2986

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Anthony Family Investments, LTD Organization, Dallas, TX Holding company 5% Or Greater Indirect Ownership Interest Dec 3, 2025 26.8%
Vistria Fund III (Ft) LP Organization, Chicago, IL Private equity company 5% Or Greater Indirect Ownership Interest Dec 3, 2025 8.8%
Chris Walker Individual Corporate DirectorChief Administrative Officer Dec 3, 2025
W-2 Managing EmployeeChief Administrative Officer Dec 3, 2025
Anthony D Davis Individual Contracted Managing EmployeeMD; Feb 1, 2019
TVG NP Homecare Acquisition Holdings, Inc. Organization, Dallas, TX Holding company 5% Or Greater Indirect Ownership Interest Dec 3, 2025 100%
Kihm Holdings, Inc. Organization, Gulfport, MS Holding company 5% Or Greater Indirect Ownership Interest Dec 3, 2025 11.1%
TVG NP Homecare Sponsorco, LP Organization, Dallas, TX Holding company 5% Or Greater Indirect Ownership Interest Dec 3, 2025 80.4%
TVG NP Homecare Acquisition Intermediate, Inc. Organization, Dallas, TX Holding company 5% Or Greater Indirect Ownership Interest Dec 3, 2025 100%
Yutasha Jackson Individual W-2 Managing EmployeeAd; Apr 22, 2024
TVG NP Homecare Acquisition, Inc. Organization, Dallas, TX Holding company 5% Or Greater Indirect Ownership Interest Dec 3, 2025 100%
Nautic Partners IX, LP Organization, Providence, RI Private equity company 5% Or Greater Indirect Ownership Interest Dec 3, 2025 16.9%
TVG NP Homecare Topco, LP Organization, Dallas, TX Holding company 5% Or Greater Indirect Ownership Interest Dec 3, 2025 100%
Vistria Fund III LP Organization, Chicago, IL Private equity company 5% Or Greater Indirect Ownership Interest Dec 3, 2025 18%
At Home Holdings, Inc. Organization, Dallas, TX Holding company 5% Or Greater Direct Ownership Interest Dec 3, 2025 100%
Nautic Partners IX-a LP Organization, Providence, RI Private equity company 5% Or Greater Indirect Ownership Interest Dec 3, 2025 9.9%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 94

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

View all 94

Change-of-ownership history 2

DateEventCounterparty
Jan 31, 2019 Change of OwnershipThis provider was the buyer Hospice ConnectionCCN 671592, TX, NPI 1669897112
Jan 31, 2019 Change of OwnershipThis provider was the seller Traditions HealthCCN 671592, TX, NPI 1669897112

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1669897112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 CAROTHERS PKWY STE 550",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678002",
            "telephone_number": "979-704-6547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 SHILOH RD SUITE 1105",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032426",
            "telephone_number": "903-787-5897",
            "fax_number": "903-787-5912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 E Bethany Dr Ste K120",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750023832",
            "country_code": "US",
            "telephone_number": "972-954-3604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRADITIONS HOSPICE OF TYLER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "LANTIER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "979-704-6547"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Traditions Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.