Active NPI
Godly Hospice and Palliative Care LLC
- Community Based Hospice Care Agency
- Longview, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- GODLY HOSPICE AND PALLIATIVE CARE LLC
- Practice address
- 911 W Loop 281 Ste 209
Longview, TX 75604-2908 - Phone
- (903) 551-3400
- Fax
- (430) 240-5055
- NPI assigned
- Aug 23, 2017
- Organization subpart
- Yes
- Parent organization
- THREE OAKS HOSPICE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Bohannon
- Title
- President & Ceo
- Phone
- (214) 628-9951
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
911 W Loop 281 Ste 209
Longview, TX 75604-2908
Mailing address
717 N Harwood St Ste 550
Dallas, TX 75201-6540
Phone (214) 628-9951
Other practice location 1
1303 S 1st St
Lufkin, TX 75901-4717
Phone (936) 317-3311
Other practice location 2
821 E Southeast Loop 323 Ste 140
Tyler, TX 75701-9689
Phone (903) 551-3500
Other names 5
- THREE OAKS HOSPICE
- THREE OAKS HOSPICE EAST TEXAS
- THREE OAKS HOSPICE LONGVIEW
- THREE OAKS HOSPICE LUFKIN
- THREE OAKS HOSPICE TYLER
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180315000362 | TX | Part A Provider - Hospice | 5395007132 | Practice locations: Longview, TX; Lufkin, TX; Tyler, TX |
Hospice certification: CCN 741783
- Legal name
- GODLY HOSPICE AND PALLIATIVE CARE LLC
- Doing business as
- THREE OAKS HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 11, 2019
- Last certification
- Feb 18, 2022
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Enrollment address
- 911 W Loop 281
Ste 209
Longview, TX 75604-2908
Care Compare: Hospice
Medicare Care Compare- Listed as
- Three Oaks Hospice
- Ownership
- For-Profit
- Certified
- Mar 11, 2019
- 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 |
|---|---|---|---|
| 45D2145070 | Godly Hospice & Palliative Care, LLC | Certificate of waiver | Feb 28, 2028 |
| 45D2298814 | Godly Hospice and Palliative Care, LLC | Certificate of waiver | Feb 7, 2028 |
National Provider Directory
National Provider DirectoryLocations
2665 Villa Creek Dr
Ste 206G
Farmers Branch, TX 75234
911 W Loop 281
Ste 209
Longview, TX 75604
Phone (877) 585-7400
1303 S 1st St
Lufkin, TX 75901
Phone (936) 317-3311
821 E Southeast Loop 323
Ste 140
Tyler, TX 75701
Phone (903) 300-2977
Ownership & related parties
All disclosed owners & managing parties 17
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 |
|---|---|---|---|
| David C Gasmire | Corporate Officer | Jan 31, 2020 | |
| Corporate Director | Jan 31, 2020 | ||
| Cypress Purchaser, LLC | 5% Or Greater Indirect Ownership Interest | Oct 22, 2024 | 100% |
| Cypress Midco, Inc. | 5% Or Greater Indirect Ownership Interest | Oct 22, 2024 | 100% |
| Three Oaks Hospice, Inc. | 5% Or Greater Direct Ownership Interest | Jan 31, 2020 | 100% |
| Operational/Managerial Control | Jan 31, 2020 | 100% | |
| Cypress Parent Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Oct 22, 2024 | 100% |
| Patricia Disotell | W-2 Managing Employee | Dec 1, 2025 | |
| Owen Davis | Corporate Director | Oct 22, 2024 | |
| Other | Oct 22, 2024 | ||
| Kelly a Priegnitz | Corporate Director | Oct 22, 2024 | |
| Other | Oct 22, 2024 | ||
| Martis Partners IV Cypress Aggregator LP | 5% Or Greater Indirect Ownership Interest | Oct 22, 2024 | 80.39% |
| Martis Partners IV GP, LLC | Other | Oct 22, 2024 | |
| Phillip Campbell | Corporate Director | Oct 22, 2024 | |
| Other | Oct 22, 2024 | ||
| Martis Partners IV, LP | 5% Or Greater Indirect Ownership Interest | Oct 22, 2024 | 63.1% |
| Lisa M Pekar | W-2 Managing Employee | Jan 31, 2020 | |
| Andrea F Bohannon | Corporate Officer | Jan 31, 2020 | |
| Corporate Director | Jan 31, 2020 | ||
| Ross J Taylor | Corporate Officer | Oct 22, 2024 | |
| Martis Partners IV PV, LP | 5% Or Greater Indirect Ownership Interest | Oct 22, 2024 | 12.93% |
| Khoren Hekimian | Contracted Managing Employee | Oct 1, 2021 |
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 22
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Hurst, TX
- NPI 1659741411
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV PV, LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
-
- Community Based Hospice Care Agency
- Houston, TX
- NPI 1891947040
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV PV, LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
-
- Community Based Hospice Care Agency
- The Woodlands, TX
- NPI 1669890810
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV PV, LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
-
- Community Based Hospice Care Agency
- Beaumont, TX
- NPI 1861813172
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV PV, LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
-
- Community Based Hospice Care Agency
- El Paso, TX
- NPI 1457806242
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV PV, LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
-
- Community Based Hospice Care Agency
- Rockwall, TX
- NPI 1508174699
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV PV, LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
-
- Community Based Hospice Care Agency
- Austin, TX
- NPI 1093334765
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV PV, LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
-
- Community Based Hospice Care Agency
- Richardson, TX
- NPI 1720648660
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV PV, LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
-
- Community Based Hospice Care Agency
- San Antonio, TX
- NPI 1831574193
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV PV, LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
-
- Community Based Hospice Care Agency
- Scottsdale, AZ
- NPI 1881993970
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
-
- Community Based Hospice Care Agency
- Villa Rica, GA
- NPI 1275895419
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
-
- Community Based Hospice Care Agency
- Woodstock, GA
- NPI 1043708803
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Bullard, TX
- NPI 1326018797
-
- Internal Medicine Physician
- Tyler, TX
- NPI 1396310777
Affiliated clinicians 3
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": "1503446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728000000000",
"number": "1780101642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 N HARWOOD ST STE 550",
"city": "DALLAS",
"state": "TX",
"postal_code": "752016540",
"telephone_number": "214-628-9951",
"fax_number": "214-389-0976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 W LOOP 281 STE 209",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756042908",
"telephone_number": "903-551-3400",
"fax_number": "430-240-5055"
}
],
"practiceLocations": [
{
"address_1": "1303 S 1st St",
"address_purpose": "LOCATION",
"city": "Lufkin",
"state": "TX",
"postal_code": "759014717",
"country_code": "US",
"telephone_number": "936-317-3311",
"fax_number": "936-317-3322",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "821 E Southeast Loop 323 Ste 140",
"address_purpose": "LOCATION",
"city": "Tyler",
"state": "TX",
"postal_code": "757019689",
"country_code": "US",
"telephone_number": "903-551-3500",
"fax_number": "903-710-3018",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GODLY HOSPICE AND PALLIATIVE CARE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "THREE OAKS HOSPICE INC",
"enumeration_date": "2017-08-23",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A",
"authorized_official_last_name": "BOHANNON",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "214-628-9951"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "THREE OAKS HOSPICE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "THREE OAKS HOSPICE EAST TEXAS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "THREE OAKS HOSPICE EAST TEXAS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "THREE OAKS HOSPICE LONGVIEW",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "THREE OAKS HOSPICE LUFKIN",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "THREE OAKS HOSPICE TYLER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.