Texas Home Health Hospice, L.P.
Organization Active NPI Community Based Hospice Care Agency · Longview, TX
NPI 1699719989 · NPPES record last updated May 2, 2024
Key facts
- NPI
- 1699719989
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- License
- 010521 (TX)
- Legal business name
- TEXAS HOME HEALTH HOSPICE, L.P.
- Practice address
- 2904 N 4TH St
Suite 102
Longview, TX 75605-5129 - Phone
- (903) 234-0943
- Fax
- (903) 238-9068
- NPI assigned
- Jun 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Heather Siscel
- Title
- VP Legal
- Phone
- (903) 234-0943
Owners & managing parties with NPI records 2
-
Bodie James Correll, M.D.
-
Hong-I Shen, M.D.
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 4
Facilities with the same owner 114
Practitioners 1
-
Tasha Marie Tovar, FNP
Affiliated clinicians 4
-
Bodie James Correll, M.D.
-
Aval NA Ree Sian Green, M.D.
-
Jeffrey D Rettig, D.O.
-
Hong-I Shen, M.D.
Medicare Care Compare: Hospice
- Listed as
- Accentcare Hospice & Palliative Care of Texas
- Ownership
- For-Profit
- Certified
- Aug 30, 2006
- Medicare certification status
- Active
Medicare Care Compare: Hospice
- Listed as
- Accentcare Hospice & Palliative Care of Texas
- Ownership
- For-Profit
- Certified
- Nov 20, 2006
- Medicare certification status
- Active
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1055217 | Texas Home Health Hospice LP | Certificate of waiver | Jun 12, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX
Hospice certification: CCN 671545
- Legal name
- TEXAS HOME HEALTH HOSPICE, L.P.
- Doing business as
- ACCENTCARE HOSPICE & PALLIATIVE CARE OF TEXAS
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Aug 30, 2006
- Last certification
- Aug 9, 2019
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Other · Proprietary
- Enrollment address
- 2904 4TH St
Ste 102
Longview, TX 75605-5124
Hospice certification: CCN 671552
- Legal name
- TEXAS HOME HEALTH HOSPICE, L.P.
- Doing business as
- ACCENTCARE HOSPICE & PALLIATIVE CARE OF TEXAS
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Nov 20, 2006
- Last certification
- Jul 19, 2019
- Ownership / control type
- Proprietary - Other
- Organization structure
- Other · Proprietary
- Enrollment address
- 8320 Central Park Dr
Ste D
Waco, TX 76712-6662
All disclosed owners & managing parties 24
| Name | Role | Since | Share |
|---|---|---|---|
| Laura Tortorella |
Corporate Officer |
Dec 14, 2023 | |
| Thha No 1 LLC |
5% Or Greater Direct Ownership Interest | Feb 28, 2006 | |
| General Partnership Interest | Feb 28, 2006 | ||
| Limited Partnership Interest | Mar 9, 2006 | 99.9% | |
| Advent International Gpe VIII-B, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 15.08% |
| Horizon Acquisition Co Inc. |
5% Or Greater Indirect Ownership Interest | Jun 20, 2019 | 100% |
| Pamela E Fletcher |
W-2 Managing Employee |
Dec 11, 2023 | |
| Advent International Gpe VIII-H, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 5.49% |
| Horizon Group Holdings Intermediate 2, Inc. |
5% Or Greater Indirect Ownership Interest | Jun 20, 2019 | 100% |
| Seasons Rollover Holdings LLC |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 15.38% |
| Guardian Home Care Holdings Inc |
5% Or Greater Indirect Ownership Interest | Sep 9, 2005 | 100% |
| 5% Or Greater Direct Ownership Interest | Sep 9, 2005 | 100% | |
| Horizon Group Holdings Intermediate 1, Inc. |
5% Or Greater Indirect Ownership Interest | Jun 20, 2019 | 100% |
| Advent International Gpe VIII-I, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 5.09% |
| Horizon Group Holdings, L.P. |
5% Or Greater Indirect Ownership Interest | Jun 20, 2019 | 100% |
| Hong-I Shen |
Contracted Managing Employee |
Jun 21, 2023 | |
| Advent International Gpe VIII-J LP |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 4.99% |
| Advent International Gpe VIII-B-1, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 5.39% |
| Thha Hospice LLC |
5% Or Greater Indirect Ownership Interest | Mar 9, 2006 | 0.1% |
| General Partnership Interest | Mar 9, 2006 | 100% | |
| General Partnership Interest | Mar 9, 2006 | 1% | |
| Advent International Gpe VIII-B-3, L.P. |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 6.29% |
| Advent International Gpe VIII-a LP |
5% Or Greater Indirect Ownership Interest | Dec 21, 2020 | 11.18% |
| Accentcare, Inc. |
5% Or Greater Indirect Ownership Interest | Dec 10, 2010 | 100% |
| 5% Or Greater Indirect Ownership Interest | Dec 22, 2010 | 100% | |
| Dena Schwartz-Doty |
Corporate Officer |
Dec 22, 2010 | |
| Other |
Jul 16, 2019 | ||
| Corporate Officer |
Oct 29, 2015 | ||
| Pluto Acquisition I Inc |
5% Or Greater Indirect Ownership Interest | Dec 10, 2010 | 100% |
| 5% Or Greater Indirect Ownership Interest | Dec 22, 2010 | 100% | |
| Thha No. 1, LLC |
Limited Partnership Interest | Mar 9, 2006 | 99.9% |
| Candice Goswick |
Operational/Managerial Control |
Aug 10, 2016 | 55% |
| Bodie Correll |
Contracted Managing Employee |
Jun 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060727000034 | TX | Part a Provider - Hospice | 9931112513 | Practice locations: Longview, TX |
| O20060802000539 | TX | Part a Provider - Hospice | 9931112513 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Groesbeck, TX; Killeen, TX; Waco, TX |
National Provider Directory
- Tax ID family
- Accentcare Hospice Palliative Care of Texas
Locations
400 Belcher St
Ste 5
Cleveland, TX 77327
314 S Dr J B Riggs Dr
Ste 314
Groesbeck, TX 76642
8876 Gulf Fwy
Houston, TX 77017
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 010521 | TX | Yes |
Addresses
Primary practice location
2904 N 4TH St
Suite 102
Longview, TX 75605-5129
Mailing address
17855 N. Dallas Pkwy.
Suite 200
Dallas, TX 75287-6857
Phone (972) 267-1100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001014650 | Medicaid | TX | |
| 010521 | Other | TX | DADS LICENSE |
Other names
- AccentCare Hospice & Palliative Care of Texas
- Texas Home Health Hospice
Other providers in Longview, TX
- Brittney Teafatiller
- Tee Jays Enterprise LLC, Dba All N One Lab
- Brianna Renee Teel
- Timothy William Teel
- Elizabeth Hope Terry
- Texas Home Health Skilled Services,LP
- Texas Physician Services, PLLC
- Texas Primary Care Associates PLLC
- Texas Spine & Joint Hospital Longview Clinic
- Texas Therapeutic Hearing Care Center, LLC
All providers in Longview, TX · Community Based Hospice Care Agency in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.