Organization Active NPI

Hospice Partners of Kansas LLC

Doing business as Three Oaks Hospice

  • Community Based Hospice Care Agency
  • Independence, MO
National Provider Identifier
1851774368
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HOSPICE PARTNERS OF KANSAS LLC
Doing business as
Three Oaks Hospice
Three Oaks Hospice Kansas City
Three Oaks Hospice Missouri
Practice address
4721 S Cliff Ave Ste 220
Independence, MO 64055-7016
Phone
(816) 875-0420
Fax
(816) 875-0421
NPI assigned
Jul 1, 2015
Last updated
Mar 10, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
THREE OAKS HOSPICE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Authorized official

Name
Andrea Bohannon
Title
President & Ceo
Phone
(214) 628-9950

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

4721 S Cliff Ave Ste 220
Independence, MO 64055-7016

Mailing address

717 N Harwood St Ste 550
Dallas, TX 75201-6540
Phone (214) 628-9951

Other practice location 1

1213 N Belt Hwy Ste E
Saint Joseph, MO 64506-2546
Phone (816) 232-2400

Other names 3

  • THREE OAKS HOSPICE Doing business as
  • THREE OAKS HOSPICE KANSAS CITY Doing business as
  • THREE OAKS HOSPICE MISSOURI Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151012001599 MO Part A Provider - Hospice 0840469110 Practice locations: Independence, MO; Saint Joseph, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851774368. Details of each certification follow.

Hospice certification: CCN 261521

Legal name
HOSPICE PARTNERS OF KANSAS, LLC
Doing business as
THREE OAKS HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 14, 1990
Last certification
Aug 15, 2019
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
May 18, 2011 in DE
Enrollment address
4721 S Cliff Ave
Ste 220
Independence, MO 64055-7016

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Three Oaks HospiceCCN 261521 · All quality measures
Ownership
For-Profit
Certified
Nov 14, 1990
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
26D2170453Hospice Partners of Kansas, LLC4721 S Cliff Avenue, Suite 220, Independence, MO 64055Certificate of waiverAug 11, 2027
26D2170455Hospice Partners of Kansas, LLC1213 N Belt Highway, Suite E, Saint Joseph, MO 64506Certificate of waiverAug 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Hospice Partners2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4721 S Cliff Ave
Ste 220
Independence, MO 64055
Phone (816) 875-0420

10015 N Ambassador Dr
Ste 202
Kansas City, MO 64153
Phone (816) 232-2400

8301 State Line Rd
Ste 103
Kansas City, MO 64114

1213 N Belt Hwy
Ste E
Saint Joseph, MO 64506
Phone (816) 232-2400

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Melinda Ward Individual W-2 Managing EmployeeAd; Dec 20, 2023
David C Gasmire Individual Corporate OfficerVice President May 1, 2020
Corporate DirectorBoard of Directors, Member Oct 22, 2024
Cypress Purchaser, LLC Organization, Washington, DC Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 22, 2024 100%
Cypress Midco, Inc. Organization, Coconut Grove, FL Created for acquisition, Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 22, 2024 100%
Scott F Avery Individual Contracted Managing EmployeeMD; Sep 21, 2022
Three Oaks Hospice, Inc. Organization, Dallas, TX Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest May 1, 2020 100%
Operational/Managerial Control May 1, 2020 100%
Cypress Parent Holdings, LLC Organization, Washington, DC Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 22, 2024 100%
Martis Partners IV Cypress Aggregator LP Organization, Washington, DC Created for acquisition, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 22, 2024 80.39%
Martis Partners IV, LP Organization, Washington, DC Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 22, 2024 63.1%
Lisa M Pekar Individual W-2 Managing EmployeeDirector of Licensure May 1, 2020
Andrea F Bohannon Individual Corporate OfficerPresident, Ceo, Asst Secretary May 1, 2020
Corporate DirectorBoard of Directors, Member May 1, 2020
Ross J Taylor Individual Corporate OfficerSecretary Oct 22, 2024
Martis Partners IV PV, LP Organization, Washington, DC Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 22, 2024 12.93%

Owners & managing parties with NPI records 1

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

Facilities with the same owner 22

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

View all 22

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.

Affiliated clinicians 12

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": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1851774368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 N HARWOOD ST STE 550",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752016540",
            "telephone_number": "214-628-9951",
            "fax_number": "214-389-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 S CLIFF AVE STE 220",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640557016",
            "telephone_number": "816-875-0420",
            "fax_number": "816-875-0421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1213 N Belt Hwy Ste E",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645062546",
            "country_code": "US",
            "telephone_number": "816-232-2400",
            "fax_number": "816-232-2426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOSPICE PARTNERS OF KANSAS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THREE OAKS HOSPICE INC",
        "enumeration_date": "2015-07-01",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "BOHANNON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "214-628-9950"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THREE OAKS HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THREE OAKS HOSPICE KANSAS CITY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THREE OAKS HOSPICE MISSOURI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THREE OAKS HOSPICE MISSOURI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.