Active NPI
Paradise Hospice Care Inc
Doing business as CompleteTX Hospice
- Community Based Hospice Care Agency
- Richardson, TX
National Provider Identifier
1770057952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- PARADISE HOSPICE CARE INC
- Doing business as
- CompleteTX Hospice
- Practice address
- 899 Presidential Dr Ste 117
Richardson, TX 75081 - Phone
- (469) 676-4700
- Fax
- (469) 750-3085
- NPI assigned
- Jan 21, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lola Jane Edwards, RN BSN MA
- Title
- President
- Phone
- (469) 676-4700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
899 Presidential Dr Ste 117
Richardson, TX 75081
Mailing address
9005 S Hudson Ave
Tulsa, OK 74137-3576
Phone (469) 676-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019319 | Other | TX | HHSC STATE LICENSE |
Other names 1
- CompleteTX Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190627003163 | TX | Part A Provider - Hospice | 0042544843 | Practice locations: Richardson, TX |
Hospice certification: CCN 971616
- Legal name
- PARADISE HOSPICE CARE INC
- Doing business as
- COMPLETE TX HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jan 5, 2021
- Last certification
- Jan 5, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Jun 26, 2018 in TX
- Enrollment address
- 899 Presidential Dr
Ste 117
Richardson, TX 75081-2963
Care Compare: Hospice
Medicare Care Compare- Listed as
- Completetx Hospice
- Ownership
- For-Profit
- Certified
- Jan 5, 2021
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2170706 | Paradise Hospice Care Dba Complete TX | Certificate of waiver | Aug 15, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Paradise Hospice Care Inc | 5% Or Greater Direct Ownership Interest | Mar 2, 2022 | 100% |
| Cheneka Johnson | W-2 Managing Employee | May 16, 2024 | |
| Iren Edwards | 5% Or Greater Direct Ownership Interest | Mar 2, 2022 | |
| Venkatesh V Madhav | Contracted Managing Employee | May 1, 2024 | |
| Lola J Edwards | W-2 Managing Employee | Mar 2, 2022 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Plano, TX
- NPI 1144274341
Contracted Managing Employee
Practitioners & affiliated clinicians
Affiliated clinicians 6
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720483200000",
"number": "1770057952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9005 S HUDSON AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741373576",
"telephone_number": "469-676-4700",
"fax_number": "469-750-3085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "899 PRESIDENTIAL DR STE 117",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "75081",
"telephone_number": "469-676-4700",
"fax_number": "469-750-3085"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARADISE HOSPICE CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-21",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "LOLA",
"authorized_official_middle_name": "JANE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "469-676-4700",
"authorized_official_credential": "RN BSN MA"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HHSC STATE LICENSE",
"identifier": "019319",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CompleteTX Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.