Active NPI
Precise Personalized Care Hospice LLC
- Community Based Hospice Care Agency
- Carrollton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2025
- 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
- Tracy R Galvan
- Title
- Administrator
- Phone
- (469) 324-5650
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Ownership
- For-Profit
- Certified
- Aug 4, 2017
- 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 |
|---|---|---|---|
| 45D2107023 | Precise Personalized Care Hospice, LLC | Certificate of waiver | Jan 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Najam H Khan | 5% Or Greater Indirect Ownership Interest | Jan 22, 2018 | 33.3% |
| Charity Limbrick | W-2 Managing Employee | Jan 22, 2018 | |
| Sultan a Chowdhary | 5% Or Greater Indirect Ownership Interest | Jan 22, 2018 | |
| Bindu Chowritmootoo | Corporate Director | Jan 22, 2018 | 100% |
| Operational/Managerial Control | Jan 22, 2018 | 100% | |
| Ksa Enterprises, LLC | 5% Or Greater Direct Ownership Interest | Jan 22, 2018 | 100% |
| 5% Or Greater Security Interest | Jan 22, 2018 | ||
| Vernon Morrison | Operational/Managerial Control | Mar 9, 2020 | 100% |
| Mohammad Amir | 5% Or Greater Indirect Ownership Interest | Jan 22, 2018 | 33.3% |
| Corporate Officer | 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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1265443857
5% Or Greater Indirect Ownership Interest, Corporate Officer
-
- Hematology & Oncology Physician
- McKinney, TX
- NPI 1033114459
5% Or Greater Indirect Ownership Interest
-
- Internal Medicine Physician
- Carrollton, TX
- NPI 1851315857
5% Or Greater Indirect Ownership Interest
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Dec 22, 2017 | Change of Ownership | Afc Palliative and Hospice Care LLC |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Community Based Hospice Care Agency
- Grand Prairie, TX
- NPI 1326427139
Acquired from, 2017-12-22
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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1265443857
-
- Internal Medicine Physician
- Carrollton, TX
- NPI 1851315857
-
- Family Nurse Practitioner
- Richardson, TX
- NPI 1063981074
Single Specialty
-
- Family Nurse Practitioner
- Frisco, TX
- NPI 1023528031
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.