Active NPI
Heart to Heart Hospice of the Lakes Area, LLC
Doing business as Olive Branch Hospice
- Community Based Hospice Care Agency
- Jasper, TX
National Provider Identifier
1780143933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HEART TO HEART HOSPICE OF THE LAKES AREA, LLC
- Doing business as
- Olive Branch Hospice
- Practice address
- 2014 S Wheeler St Ste 250
Jasper, TX 75951-5628 - Phone
- (409) 384-5700
- Fax
- (409) 384-5177
- NPI assigned
- Mar 18, 2019
- Last updated
- Oct 8, 2026
- 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
- Kelly Mitchell
- Title
- Manager
- Phone
- (972) 517-6300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
2014 S Wheeler St Ste 250
Jasper, TX 75951-5628
Mailing address
7240 Chase Oaks Blvd
Plano, TX 75025-5901
Phone (972) 517-6300
Other names 1
- Olive Branch Hospice
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | ABILITY Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1780143933. Details of each certification follow.
Hospice certification: CCN 971522
- Legal name
- HEART TO HEART HOSPICE OF THE LAKES AREA, LLC
- Doing business as
- OLIVE BRANCH HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Oct 10, 2019
- Last certification
- Jul 21, 2022
- Ownership / control type
- Proprietary - Partnership
- Organization structure
- LLC
- Incorporated
- Feb 5, 2019 in TX
- Enrollment address
- 2014 S Wheeler St
Ste 250
Jasper, TX 75951-5628
Care Compare: Hospice
Medicare Care Compare- Listed as
- Olive Branch Hospice
- Ownership
- For-Profit
- Certified
- Oct 10, 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 |
|---|---|---|---|
| 45D2195288 | Heart to Heart Hospice of the Lakes Area | Certificate of waiver | Oct 6, 2026 |
National Provider Directory
National Provider DirectoryLocations
1217 15th St
Ste 2
Huntsville, TX 77340
2014 S Wheeler St
Ste 250
Jasper, TX 75951
Phone (409) 384-1333
301 Highway 59 Loop S
Ste E
Livingston, TX 77352
Phone (936) 327-3457
Ownership & related parties
All disclosed owners & managing parties 10
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 |
|---|---|---|---|
| Bridget N Hearn | 5% Or Greater Direct Ownership Interest | Dec 2, 2021 | 1.75% |
| Other | Jan 2, 2023 | 1.75% | |
| Crystal Heigley | 5% Or Greater Direct Ownership Interest | Dec 2, 2021 | 1% |
| Other | Dec 2, 2021 | 1% | |
| Gregory L Gray | 5% Or Greater Direct Ownership Interest | Dec 2, 2021 | 10.25% |
| Flower Moon Holdings, LLC | 5% Or Greater Direct Ownership Interest | Nov 30, 2021 | 75% |
| Tiffany Coggins | W-2 Managing Employee | Jul 17, 2023 | |
| Richard R Riggins | Contracted Managing Employee | Jan 14, 2021 | |
| Teresa Brown | 5% Or Greater Direct Ownership Interest | Dec 2, 2021 | 10.25% |
| Molly Siau | 5% Or Greater Direct Ownership Interest | Dec 2, 2021 | 1.75% |
| Other | Jan 2, 2023 | 1.75% | |
| Erica a Errigo | W-2 Managing Employee | Jan 1, 2025 | |
| Kelly Mitchell | Corporate Officer | Dec 2, 2021 | |
| W-2 Managing Employee | Dec 2, 2021 |
Owners & managing parties with NPI records 2
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Medicine Physician
- Jasper, TX
- NPI 1871576652
Contracted Managing Employee
-
- Emergency Medicine Physician
- Madison Heights, MI
- NPI 1457849820
W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Arlington, TX
- NPI 1528077112
Affiliated clinicians 14
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Student in an Organized Health Care Education/Training Program
- Conroe, TX
- NPI 1043666233
Hospice
-
- Geriatric Medicine (Family Medicine) Physician
- Houston, TX
- NPI 1548232317
Hospice
-
- Geriatric Medicine (Family Medicine) Physician
- Houston, TX
- NPI 1154708022
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791417600000",
"number": "1780143933",
"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",
"fax_number": "972-517-6310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2014 S WHEELER ST STE 250",
"city": "JASPER",
"state": "TX",
"postal_code": "759515628",
"telephone_number": "409-384-5700",
"fax_number": "409-384-5177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEART TO HEART HOSPICE OF THE LAKES AREA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-18",
"last_updated": "2026-10-08",
"certification_date": "2026-10-08",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "KELLY",
"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": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "ABILITY Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 S Price Rd Ste B",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Olive Branch Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Jasper, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.