Hospice of East Texas

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HOSPICE OF EAST TEXAS

Practice address

4111 University Blvd
Tyler, TX 75701-6623

Phone

(903) 266-3400

Fax

(903) 565-6687

NPI assigned

May 23, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Dial

Title

Accounting Team Leader

Phone

(903) 266-3400

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 451534

Legal name

HOSPICE OF EAST TEXAS

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 15, 1989

Last certification

Nov 15, 2019

Ownership / control type

Non-Profit - Private

Organization structure

CorporationNon-profit

Incorporated

Oct 15, 1982 in TX

Enrollment address

4111 University Blvd
Tyler, TX 75701-6623

Listed as

Hospice of East TexasCCN 451534

Ownership

Non-Profit

Certified

Sep 15, 1989

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 32

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 4

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

• Michael Thomas Beets, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Tyler, TX
  • NPI 1669521407

  Corporate Director

  CMS ownership
• Laura Ferguson, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Tyler, TX
  • NPI 1689886772

  Corporate Director, W-2 Managing Employee

  CMS ownership
• Arielle S. Lee, MD

  • Hematology & Oncology Physician
  • Tyler, TX
  • NPI 1679578389

  Corporate Director

  CMS ownership
• Suhel Patel, MD

  • Internal Medicine Physician
  • Gainesville, GA
  • NPI 1033242680

  Corporate Director

  CMS ownership

Affiliated clinicians 18

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

• Adebayo Adewale, M.D

  • Nephrology Physician
  • Palestine, TX
  • NPI 1245509108

  Hospice

  Care Compare affiliation
• Lazel B. Augustus, M.D.

  • Internal Medicine Physician
  • Tyler, TX
  • NPI 1215008537

  Hospice

  Care Compare affiliation
• Royal M Becker, MD

  • Hospitalist Physician
  • Jacksonville, TX
  • NPI 1588637698

  Hospice

  Care Compare affiliation
• Cammie Diane Bedell, FNP

  • Family Nurse Practitioner
  • Tyler, TX
  • NPI 1225464787

  Hospice

  Care Compare affiliation
• David Matthew Burkland, NP

  • Family Nurse Practitioner
  • Tyler, TX
  • NPI 1174000962

  Hospice

  Care Compare affiliation
• Evelyn Yeong-Ching Chou, DO

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1386265106

  Hospice

  Care Compare affiliation
• Melissa Crosman, FNP

  • Family Nurse Practitioner
  • Tyler, TX
  • NPI 1740897479

  Hospice

  Care Compare affiliation
• Anthony Dewayne Davis, M.D.

  • Family Medicine Physician
  • Lindale, TX
  • NPI 1962446898

  Hospice

  Care Compare affiliation
• Kent Matthew Davis, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Tyler, TX
  • NPI 1548259179

  Hospice

  Care Compare affiliation
• Laura Ferguson, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Tyler, TX
  • NPI 1689886772

  Hospice

  Care Compare affiliation
• Ryan Dean Ford, M.D.

  • Family Medicine Physician
  • Jacksonville, TX
  • NPI 1376523951

  Hospice

  Care Compare affiliation
• Craig Alan Gunter, M.D.

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1174598312

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790788958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 UNIVERSITY BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757016623",
            "telephone_number": "903-266-3400",
            "fax_number": "903-565-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 UNIVERSITY BLVD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757016623",
            "telephone_number": "903-266-3400",
            "fax_number": "903-565-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF EAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2022-07-21",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "DIAL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ACCOUNTING TEAM LEADER",
        "authorized_official_telephone_number": "903-266-3400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000202800",
            "state": "TX"
        }
    ],
    "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",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alisha Horton
• Sydney Horton, DO
• Amy J Hosch, MD
• Daniel Luther Hosch, LCDC
• Jonathan C Hosch, DPM
• Hospitalist Medicine Physicians of Texas - Tyler, PLLC
• Sarah Hostas, OTR
• Wayne E Hostetler, MD
• Brittany R House
• Teresa Araya Houser, SLP

• All providers in Tyler, TX
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.