Organization Active NPI

Precise Personalized Care Hospice LLC

  • Community Based Hospice Care Agency
  • Carrollton, TX
National Provider Identifier
1811404569
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PRECISE PERSONALIZED CARE HOSPICE LLC
Practice address
3630 N Josey LN Ste 219
Carrollton, TX 75007-3144
Phone
(469) 324-5650
Fax
(469) 324-5634
NPI assigned
Jan 3, 2018
Last updated
Jan 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Authorized official

Name
Tracy R Galvan
Title
Administrator
Phone
(469) 324-5650

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician 2081H0002X NU

Addresses

Primary practice location

3630 N Josey LN Ste 219
Carrollton, TX 75007-3144

Mailing address

3630 N Josey LN Ste 219
Carrollton, TX 75007-3144
Phone (469) 324-5650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180412000412 TX Part A Provider - Hospice 7416210075 Practice locations: Dallas, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811404569. Details of each certification follow.

Hospice certification: CCN 741679

Legal name
PRECISE PERSONALIZED CARE HOSPICE
Doing business as
PRECISE PERSONALIZED CARE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 4, 2017
Last certification
Oct 30, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Oct 20, 2017 in TX
Enrollment address
6009 Belt Line Rd
Ste 240
Dallas, TX 75254-7872

Care Compare: Hospice

Medicare Care Compare
Listed as
Precise Personalized Care Hospice LLCCCN 741679 · All quality measures
Ownership
For-Profit
Certified
Aug 4, 2017
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2107023Precise Personalized Care Hospice, LLC3630 N Josey Lane Suite 219, Carrollton, TX 75007Certificate of waiverJan 4, 2028

National Provider Directory

National Provider Directory

Locations

3630 N Josey Ln
Ste 219
Carrollton, TX 75007
Phone (469) 324-5650

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Najam H Khan Individual 5% Or Greater Indirect Ownership Interest Jan 22, 2018 33.3%
Charity Limbrick Individual W-2 Managing EmployeeDon/Administrator Jan 22, 2018
Sultan a Chowdhary Individual 5% Or Greater Indirect Ownership Interest33.3 Jan 22, 2018
Bindu Chowritmootoo Individual Corporate DirectorCoo Jan 22, 2018 100%
Operational/Managerial ControlCoo Jan 22, 2018 100%
Ksa Enterprises, LLC Organization, Dallas, TX Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jan 22, 2018 100%
5% Or Greater Security Interest Jan 22, 2018
Vernon Morrison Individual Operational/Managerial Control Mar 9, 2020 100%
Mohammad Amir Individual 5% Or Greater Indirect Ownership Interest Jan 22, 2018 33.3%
Corporate OfficerBoard Member Jan 22, 2018

Owners & managing parties with NPI records 3

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

Change-of-ownership history 1

DateEventCounterparty
Dec 22, 2017 Change of OwnershipThis provider was the buyer Afc Palliative and Hospice Care LLCCCN 741679, TX, NPI 1326427139

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 4

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.

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": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1811404569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 N JOSEY LN STE 219",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750073144",
            "telephone_number": "469-324-5650",
            "fax_number": "469-324-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 N JOSEY LN STE 219",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750073144",
            "telephone_number": "469-324-5650",
            "fax_number": "469-324-5634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISE PERSONALIZED CARE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "GALVAN",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-324-5650"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2081H0002X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.