Organization Active NPI

Loving Hands Hospice LLC

Doing business as Three Oaks Hospice

  • Community Based Hospice Care Agency
  • Creve Coeur, MO
National Provider Identifier
1871999698
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
LOVING HANDS HOSPICE LLC
Doing business as
Three Oaks Hospice
Practice address
1215 Fern Ridge Pkwy Ste 209
Creve Coeur, MO 63141-4406
Phone
(314) 794-4300
Fax
(557) 467-1290
NPI assigned
Nov 5, 2014
Last updated
Jan 31, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
THREE OAKS HOSPICE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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 Primary

Addresses

Primary practice location

1215 Fern Ridge Pkwy Ste 209
Creve Coeur, MO 63141-4406

Mailing address

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

Other practice location 1

605 E Booneslick Rd Ste 2
Warrenton, MO 63383-2100
Phone (636) 377-1757

Other names 1

  • THREE OAKS HOSPICE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150102000927 MO Part A Provider - Hospice 7214250935 Practice locations: Creve Coeur, MO; Warrenton, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871999698. Details of each certification follow.

Hospice certification: CCN 261660

Legal name
LOVING HANDS HOSPICE LLC
Doing business as
THREE OAKS HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Sep 28, 2015
Last certification
May 25, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Nov 5, 2014 in MO
Enrollment address
1215 Fern Ridge Pkwy
Ste 209
Creve Coeur, MO 63141-4406

Care Compare: Hospice

Medicare Care Compare
Listed as
Three Oaks HospiceCCN 261660 · All quality measures
Ownership
For-Profit
Certified
Sep 28, 2015
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
26D2091172Loving Hands Hospice, LLC605 E Booneslick Road, Suite 2, Warrenton, MO 63383Certificate of waiverFeb 5, 2027
26D2298166Loving Hands Hospice, LLC1215 Fern Ridge Parkway, Suite 209, Creve Coeur, MO 63141Certificate of waiverJan 29, 2028

National Provider Directory

National Provider Directory

Locations

1215 Fern Ridge Pkwy
Ste 209
Creve Coeur, MO 63141
Phone (314) 794-4300

131 W Booneslick Rd
Warrenton, MO 63383

605 E Booneslick Rd
Ste 2
Warrenton, MO 63383
Phone (636) 377-1757

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
John L Heafner Individual Contracted Managing EmployeeMD; Jul 1, 2023
David C Gasmire Individual Corporate OfficerVice President Oct 31, 2021
Corporate DirectorBoard of Directors, Member Oct 22, 2024
Colleen Dietmeyer Individual W-2 Managing EmployeeAd; Oct 16, 2023
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%
Three Oaks Hospice, Inc. Organization, Dallas, TX Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 31, 2021 100%
Operational/Managerial Control Oct 31, 2021 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 Oct 31, 2021
Andrea F Bohannon Individual Corporate OfficerPresident, Ceo, Asst Secretary Oct 31, 2020
Corporate DirectorBoard of Directors, Member Oct 31, 2021
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

Affiliated clinicians 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706659200000",
    "number": "1871999698",
    "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": "1215 FERN RIDGE PKWY STE 209",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631414406",
            "telephone_number": "314-794-4300",
            "fax_number": "557-467-1290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 E Booneslick Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Warrenton",
            "state": "MO",
            "postal_code": "633832100",
            "country_code": "US",
            "telephone_number": "636-377-1757",
            "fax_number": "636-377-1296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOVING HANDS HOSPICE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THREE OAKS HOSPICE INC",
        "enumeration_date": "2014-11-05",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THREE OAKS HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.