Lackland Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LACKLAND HOSPICE LLC

Doing business as

Champion Healthcare
Lackland Hospice and Palliative Care

Practice address

8300 Douglas Ave Ste 800
Dallas, TX 75225-5826

Phone

(888) 450-8224

Fax

(817) 632-3225

NPI assigned

Feb 16, 2018

Organization subpart

No

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

Authorized official

Name

Valerie Jo Dewbre, RN

Title

Compliance Officer

Phone

(214) 534-0716

Specialties & licenses 1

Addresses

Other names 2

• CHAMPION HEALTHCARE Doing business as
• Lackland Hospice and Palliative Care Doing business as

Locations

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1730689761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 DOUGLAS AVE STE 800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255826",
            "telephone_number": "888-450-2884",
            "fax_number": "817-632-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 DOUGLAS AVE STE 800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255826",
            "telephone_number": "888-450-8224",
            "fax_number": "817-632-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACKLAND HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "DEWBRE",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "214-534-0716",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHAMPION HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lackland Hospice and Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Micki G Lacker, NP
• Blake Neal Lackey, MD
• Carson Lackey, DDS
• Keya Monike Lackey, RN, MSN, FNP-BC
• Melanie Lackey
• Kendall Jo Lackner, MOT, OTR/L
• Maria Elizabeth Laconi, PA-C
• Karrie Jane Lacour, LPC
• Kelly Lacour, OT
• Rebecca Holly Lacour, MD

• Community Based Hospice Care Agency in Dallas, TX
• Providers in Dallas, 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 Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.