Hospice Longview, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

002514 Issued in TX

Legal business name

HOSPICE LONGVIEW, INC.

Doing business as

Heart'sWay Hospice of Northeast Texas

Practice address

4351 McCann Rd
Longview, TX 75605-2907

Phone

(903) 295-1680

Fax

(903) 295-1690

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Van Burkleo

Title

Assistant Executive Director

Phone

(903) 295-1680

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heart'sWay Hospice of Northeast Texas Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 451579

Legal name

HOSPICE LONGVIEW INC

Doing business as

HEART'S WAY HOSPICE OF NORTHEAST TEXAS

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 9, 1993

Last certification

Sep 27, 2019

Ownership / control type

Non-Profit - Other

Organization structure

CorporationNon-profit

Enrollment address

4351 McCann Road
Longview, TX 75605

Listed as

Heartsway Hospice of Northeast TexasCCN 451579 · All quality measures

Ownership

Non-Profit

Certified

Jun 9, 1993

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 12

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 2

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

• Gerald J Akpassa, MD

  • Emergency Medicine Physician
  • Longview, TX
  • NPI 1447296975

  Contracted Managing Employee

  CMS ownership
• Polly Maines, LMSW

  • Social Worker
  • Dallas, TX
  • NPI 1932080702

  Corporate Director, Corporate Officer, W-2 Managing Employee

  CMS ownership

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Polly Maines, LMSW

  • Social Worker
  • Dallas, TX
  • NPI 1932080702
  NPD
• Amanda Raibourn, LCSW

  • Clinical Social Worker
  • Longview, TX
  • NPI 1346471026
  NPD (past)

Affiliated clinicians 1

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

• Gerald J Akpassa, MD

  • Emergency Medicine Physician
  • Longview, TX
  • NPI 1447296975

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1700947066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5608",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756085608",
            "telephone_number": "903-295-1680",
            "fax_number": "903-295-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 MCCANN RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052907",
            "telephone_number": "903-295-1680",
            "fax_number": "903-295-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE LONGVIEW, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "VAN BURKLEO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ASSISTANT EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "903-295-1680",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "002514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2089",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart'sWay Hospice of Northeast Texas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heart'sWay Hospice of Northeast Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Longview, TX
• Providers in Longview, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.