St. Marys Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ST. MARYS HOSPICE LLC

Doing business as

Sparrow Hospice

Practice address

920 Stockton Dr
Allen, TX 75013-6144

Phone

(972) 316-7441

NPI assigned

Jul 5, 2019

Last updated

Jan 22, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matt Johnson

Title

Manager

Phone

(214) 558-3151

Specialties & licenses 1

Addresses

Other names 1

• Sparrow Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780246108. Details of each certification follow.

• CCN 971635 Hospice · Active · Details

Hospice certification: CCN 971635

Legal name

ST MARYS HOSPICE LLC

Doing business as

SPARROW HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Feb 12, 2021

Last certification

Feb 12, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Feb 26, 2018 in TX

Enrollment address

920 Stockton Dr
Allen, TX 75013-6144

Listed as

Sparrow HospiceCCN 971635 · All quality measures

Certified

Feb 12, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 6

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

Facilities with the same owner 3

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

• CCC Hospice LLC

  dba Bella Hospice of Texas

  • Community Based Hospice Care Agency
  • Mesquite, TX
  • NPI 1609504844

  Bordeaux Capital, LLC

  CMS ownership
• American Premier Hospice LLC

  • Community Based Hospice Care Agency
  • Phoenix, AZ
  • NPI 1316498231

  Bordeaux Capital, LLC

  CMS ownership
• Health Max Group, LLC

  dba American Premier Home Health Care

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1497760201

  Bordeaux Capital, LLC

  CMS ownership

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.

• Achamma Zacharia, APN

  • Nurse Practitioner
  • Dallas, TX
  • NPI 1942446653
  NPD (past)

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769040000000",
    "number": "1780246108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5307 E MOCKINGBIRD LN STE 575",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 STOCKTON DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136144",
            "telephone_number": "972-316-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARYS HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-05",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-558-3151"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sparrow Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Allen, TX
• Providers in Allen, 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 22, 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.

Verify at the official NPI Registry.