Texas Hospice Services, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

TEXAS HOSPICE SERVICES, LLC

Practice address

2665 Villa Creek Dr Ste 202
Dallas, TX 75234-7333

Phone

(469) 465-3970

NPI assigned

Oct 21, 2020

Last updated

Oct 21, 2020By 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

Shliea Tabbytite

Title

Administrator

Phone

(469) 465-3970

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700485752. Details of each certification follow.

• CCN A91596 Hospice · Active · Details

Hospice certification: CCN A91596

Legal name

TEXAS HOSPICE SERVICES LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 25, 2023

Last certification

Jun 15, 2023

Organization structure

LLCProprietary

Enrollment address

3235 N Mesquite Dr
Ste 150
Mesquite, TX 75150-4044

Listed as

Texas Hospice Services, LLCCCN A91596 · All quality measures

Certified

Jun 25, 2023

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

Locations

All disclosed owners & managing parties 2

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

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1700485752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 VILLA CREEK DR STE 202",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347333",
            "telephone_number": "469-465-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 VILLA CREEK DR STE 202",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347333",
            "telephone_number": "469-465-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS HOSPICE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "TABBYTITE",
        "authorized_official_first_name": "SHLIEA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-465-3970"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@aunlimited.org",
            "affiliation": "N",
            "endpointDescription": "admin@haunlimited.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "admin@haunlimited.org",
            "address_1": "2665 Villa Creek Dr Ste 202",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752347333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.