NPIMap

Organization Active NPI

Heart to Heart Hospice of the Brazos, LLC

  • Community Based Hospice Care Agency
  • Cleburne, TX
National Provider Identifier
1770844102
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HEART TO HEART HOSPICE OF THE BRAZOS, LLC
Practice address
504 N Ridgeway Dr Ste a
Cleburne, TX 76033-5155
Phone
(682) 231-7818
Fax
(682) 317-1813
NPI assigned
Jun 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Kelly O Mitchell
Title
Manager
Phone
(972) 517-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

504 N Ridgeway Dr Ste a
Cleburne, TX 76033-5155

Mailing address

7240 Chase Oaks Blvd
Plano, TX 75025-5901
Phone (972) 517-6300

Other identifiers 1

IdentifierTypeStateIssuer
001027238MedicaidTX

Other names 1

  • Heart to Heart Hospice of the Brazos, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20121011000340 TX Part A Provider - Hospice 7911156773 Practice locations: Cleburne, TX
O20231102000479 TX Part B Supplier - Clinic/Group Practice 7911156773 Receives reassigned benefits from 1 practitioner
Practice locations: Cleburne, TX

Hospice certification: CCN 741527

Legal name
HEART TO HEART HOSPICE OF THE BRAZOS LLC
Doing business as
HEART TO HEART HOSPICE OF THE BRAZOS, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jul 2, 2014
Last certification
Feb 26, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
May 22, 2012 in TX
Enrollment address
504 N Ridgeway Dr
Ste a
Cleburne, TX 76033-5155

Care Compare: Hospice

Medicare Care Compare
Listed as
Heart to Heart Hospice of the Brazos, LLCCCN 741527
Ownership
For-Profit
Certified
Jul 2, 2014
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2047407Heart to Heart Hospice of the Brazos, LLC504 N Ridgeway Dr Suite a, Cleburne, TX 76033Certificate of waiverSep 23, 2026

National Provider Directory

National Provider Directory

Locations

504 N Ridgeway Dr
Ste A
Cleburne, TX 76033
Phone (682) 231-7818

1200 W Henderson St
Ste I
Cleburne, TX 76033
Phone (682) 317-1810

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Heart to Heart Hospice Holdings LLC Organization, Plano, TX LLC 5% Or Greater Indirect Ownership Interest Jan 31, 2017 100%
HTHH Atlas, LLC Organization, Plano, TX LLC Other Oct 27, 2021 0.25%
John D Clark Individual Contracted Managing EmployeeMD; Apr 15, 2024
Brent Colvin Individual W-2 Managing EmployeeAd; Feb 1, 2021
H to H Founders, LLC Organization, Plano, TX LLC 5% Or Greater Indirect Ownership Interest Oct 27, 2021 59.83%
Htohh Preferred LLC Organization, Plano, TX LLC 5% Or Greater Indirect Ownership Interest Oct 27, 2021 39.92%
Meagan Klein Individual W-2 Managing EmployeeSupervising Nurse May 18, 2024
West Texas Medical Couriers and Express Delivery Services, LLC Organization, Plano, TX LLC 5% Or Greater Direct Ownership Interest Oct 27, 2020 100%
Kelly Mitchell Individual 5% Or Greater Indirect Ownership InterestManager Jun 1, 2017 65.87%
Corporate OfficerManager Jun 1, 2017
W-2 Managing EmployeeCeo/Manager Jun 1, 2017

Owners & managing parties with NPI records 1

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

Facilities with the same owner 40

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 40

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 1

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": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1770844102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7240 CHASE OAKS BLVD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750255901",
            "telephone_number": "972-517-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N RIDGEWAY DR STE A",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760335155",
            "telephone_number": "682-231-7818",
            "fax_number": "682-317-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART TO HEART HOSPICE OF THE BRAZOS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-517-6300"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001027238",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart to Heart Hospice of the Brazos, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heart to Heart Hospice of the Brazos, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleburne, TX

Sources for this page

Verify at the official NPI Registry.