Ennoble Hospice KS, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ENNOBLE HOSPICE KS, LLC

Practice address

345 N Riverview St Ste 412
Wichita, KS 67203-4202

Phone

(316) 223-4466

Fax

(888) 317-8224

NPI assigned

Jul 24, 2024

Last updated

Feb 24, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kushabhadra Das

Title

Ceo

Phone

(862) 821-9010

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1699503318. Details of each certification follow.

• CCN 171630 Hospice · Active · Details

Hospice certification: CCN 171630

Legal name

ENNOBLE HOSPICE KS LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 1, 2025

Last certification

Jan 1, 2025

Organization structure

LLCProprietary

Incorporated

Jul 23, 2024 in KS

Enrollment address

801 E Douglas Ave
FL 2
Wichita, KS 67202-3548

Listed as

Ennoble CareCCN 171630 · All quality measures

Certified

Jan 1, 2025

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 10

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.

• Kristin Elizabeth Collins, MD

  • Internal Medicine Physician
  • Newton, MA
  • NPI 1134575038

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 3

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

• Ennoble Hospice Ga LLC

  • Community Based Hospice Care Agency
  • Sandy Springs, GA
  • NPI 1578121414

  Circa Health LLC, Ennoble Care LLC, Health Velocity Capital Ennoble Blocker, LLC, Peterson Partners VII, LP

  CMS ownership
• Ennoble Hospice PA LLC

  dba Ennoble Care

  • Community Based Hospice Care Agency
  • Jenkintown, PA
  • NPI 1619694254

  Circa Health LLC, Ennoble Care LLC, Health Velocity Capital Ennoble Blocker, LLC, Peterson Partners VII, LP

  CMS ownership
• Ennoble Hospice VA LLC

  dba Ennoble Care

  • Community Based Hospice Care Agency
  • Arlington, VA
  • NPI 1518672880

  Circa Health LLC, Ennoble Care LLC, Health Velocity Capital Ennoble Blocker, LLC, Pacific Lake Partners Fund Four, LP, Peterson Partners VII, LP, Trilogy Search Partners 2, L.P

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Tammy Brewer, FNP-C

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1124417548

  Hospice

  Care Compare affiliation
• Manuel Brockman, MD

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1588152607

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1699503318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 N RIVERVIEW ST STE 412",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034202",
            "telephone_number": "316-223-4466",
            "fax_number": "888-317-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 N RIVERVIEW ST STE 412",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672034202",
            "telephone_number": "316-223-4466",
            "fax_number": "888-317-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENNOBLE HOSPICE KS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "DAS",
        "authorized_official_first_name": "KUSHABHADRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "862-821-9010"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30005400580001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Enivision Inc (Envision Rehabilitation Center)
• Mackenzie Michelle Enmeier, DO
• Ashley Ennis
• Ennoble HC KS II LLC
• Ennoble HC KS III LLC
• James Enns, LCMFT
• Kechelle Enns, LPC
• Paul Alan Enns, MD
• Anthony M Enriquez, CRNA
• Bethany Ensign

• Community Based Hospice Care Agency in Wichita, KS
• Providers in Wichita, KS by specialty
• Community Based Hospice Care Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.
• 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.