Delta Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

DELTA HOSPICE LLC

Practice address

2245 Valwood Pkwy
Farmers Branch, TX 75234-3407

Phone

(972) 424-4001

Fax

(888) 977-3576

NPI assigned

Oct 28, 2014

Organization subpart

No

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

Authorized official

Name

Roy Koshy

Title

Owner

Phone

(972) 424-4001

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 741597

Legal name

DELTA HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 30, 2015

Last certification

Apr 15, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Sep 5, 2014 in TX

Enrollment address

2245 Valwood Pkwy
Farmers Branch, TX 75234-3407

Listed as

Delta Hospice LLCCCN 741597

Ownership

For-Profit

Certified

Dec 30, 2015

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.

Owners & managing parties with NPI records 1

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

• Jimmy W Dailey, MD

  • Family Medicine Physician
  • Canton, TX
  • NPI 1073598199

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 3

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

• Jimmy W Dailey, MD

  • Family Medicine Physician
  • Canton, TX
  • NPI 1073598199

  Hospice

  Care Compare affiliation
• Ramy Baher Elhalwagi, DO

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1326572108

  Hospice

  Care Compare affiliation
• Kevin Scott Jensen, D.O.

  • Family Medicine Physician
  • Mexia, TX
  • NPI 1306284211

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1770988198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2245 VALWOOD PKWY",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752343407",
            "telephone_number": "972-424-4001",
            "fax_number": "888-977-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 VALWOOD PKWY",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752343407",
            "telephone_number": "972-424-4001",
            "fax_number": "888-977-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "KOSHY",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-424-4001"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "016741",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katrina Davis, LVN
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• Malaika Ivanie Decosta, RBT
• Brandy Taylor Dede, PHD
• Michelle Marie Degan, SLP
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• Laya Devulapalli
• Dominique Simone Dews, RN
• Dexter Equipments Solutions LLC
• DFW Housecall Physicians, PLLC

• Community Based Hospice Care Agency in Farmers Branch, TX
• Providers in Farmers Branch, 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 Jan 23, 2025; 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.