NPIMap

Organization Active NPI

Woodlake Healthcare LLC

Doing business as Kinder Hearts Hospice of Amarillo

  • Community Based Hospice Care Agency
  • Amarillo, TX
National Provider Identifier
1851984157
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
WOODLAKE HEALTHCARE LLC
Doing business as
Kinder Hearts Hospice of Amarillo
Practice address
1901 Medi Park Dr Ste 1030
Amarillo, TX 79106-2108
Phone
(806) 576-0075
NPI assigned
Feb 17, 2021
Last updated
Jun 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Authorized official

Name
Amber L Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

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

Addresses

Primary practice location

1901 Medi Park Dr Ste 1030
Amarillo, TX 79106-2108

Mailing address

1901 Medi Park Dr Ste 1030
Amarillo, TX 79106-2108
Phone (806) 576-0075

Other names 1

  • Kinder Hearts Hospice of Amarillo Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211004002723 TX Part A Provider - Hospice 3274931399 Practice locations: Amarillo, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851984157. Details of each certification follow.

Hospice certification: CCN 671768

Legal name
WOODLAKE HEALTHCARE LLC
Doing business as
KINDER HEARTS HOSPICE OF AMARILLO
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 17, 2013
Last certification
Apr 7, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Feb 23, 2021 in NV
Enrollment address
1901 Medi Park Dr
Ste 1030
Amarillo, TX 79106-2108

Care Compare: Hospice

Medicare Care Compare
Listed as
Kinder Hearts Hospice of AmarilloCCN 671768 · All quality measures
Ownership
For-Profit
Certified
May 17, 2013
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
45D2056153Kinder Hearts Hospice of Amarillo1901 Medi Park Dr Ste 1030, Amarillo, TX 79106Certificate of waiverJan 14, 2027

National Provider Directory

National Provider Directory

Locations

1901 Medi Park Dr
Ste 1030
Amarillo, TX 79106
Phone (806) 356-2754

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Cornerstone Healthcare Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Direct Ownership Interest Sep 1, 2021 100%
Brent Mills Individual Corporate OfficerTreasurer Mar 26, 2026
Jonathan Travis Jones Individual W-2 Managing EmployeeAdministrator Sep 1, 2021
Brent Guerisoli Individual Corporate DirectorDirector and Sole Board Member Aug 1, 2022
The Pennant Group Inc Organization, Eagle, ID Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2021 100%
Thayer Ismaael Individual W-2 Managing EmployeeMD; Sep 1, 2021
John J Gochnour Individual Corporate OfficerPresident / LLC Manager Apr 10, 2024
Amber Tueller Individual Corporate OfficerSecretary Apr 10, 2024
Elliot McMillan Individual Corporate OfficerVice President Apr 10, 2024

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 141

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

View all 141

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 2

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": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749513600000",
    "number": "1851984157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR STE 1030",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062108",
            "telephone_number": "806-576-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 MEDI PARK DR STE 1030",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062108",
            "telephone_number": "806-576-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAKE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kinder Hearts Hospice of Amarillo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.