Organization Active NPI

Gilead Hospice, LLC

  • Community Based Hospice Care Agency
  • Round Rock, TX
National Provider Identifier
1679937882
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GILEAD HOSPICE, LLC
Practice address
2300 Greenhill Dr
Suite 530
Round Rock, TX 78664-2775
Phone
(512) 323-5858
NPI assigned
Apr 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Olabode Thomas Ogunleye, PH.D
Title
Owner
Phone
(512) 323-5858

Specialties & licenses 1

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

Addresses

Primary practice location

2300 Greenhill Dr
Suite 530
Round Rock, TX 78664-2775

Mailing address

2300 Greenhill Dr
Suite 530
Round Rock, TX 78664-2775
Phone (512) 323-5858

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170417000723 TX Part A Provider - Hospice 7618253147 Practice locations: Round Rock, TX

Hospice certification: CCN 741701

Legal name
GILEAD HOSPICE LLC
Doing business as
GILEAD HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 28, 2017
Last certification
May 14, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
2300 Greenhill Dr
Ste 530
Round Rock, TX 78664-2786

Care Compare: Hospice

Medicare Care Compare
Listed as
Gilead Hospice LLCCCN 741701
Ownership
For-Profit
Certified
Oct 28, 2017
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
45D2118082Gilead Hospice,LLC2300 Greenhill Drive, Suite 530, Round Rock, TX 78664Certificate of waiverAug 29, 2026

National Provider Directory

National Provider Directory

Locations

2300 Greenhill Dr
Ste 530
Round Rock, TX 78664
Phone (512) 323-5858

Ownership & 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.

NameRoleSinceShare
Jose Martin Cardenas Individual Contracted Managing EmployeeMD; Dec 30, 2024
Maria Boitenin Individual W-2 Managing EmployeeAltn Admin Jan 12, 2021
Olabode Ogunleye Individual 5% Or Greater Direct Ownership Interest Apr 11, 2016 50%
Corporate OfficerCfo Apr 11, 2016
Corporate DirectorSecretary Apr 11, 2016
Olufunmilayo Ogunleye Individual 5% Or Greater Direct Ownership InterestAdministrator Apr 11, 2016 50%
Corporate DirectorAdminstrator Apr 11, 2016 50%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1679937882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 GREENHILL DR",
            "address_2": "SUITE 530",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642775",
            "telephone_number": "512-323-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 GREENHILL DR",
            "address_2": "SUITE 530",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642775",
            "telephone_number": "512-323-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILEAD HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "OGUNLEYE",
        "authorized_official_first_name": "OLABODE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-323-5858",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.