Active NPI
Loving Hands Hospice LLC
Doing business as Three Oaks Hospice
- Community Based Hospice Care Agency
- Creve Coeur, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2024
- Organization subpart
- Yes
- Parent organization
- THREE OAKS HOSPICE INC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Hospice
- Ownership
- For-Profit
- Certified
- Sep 28, 2015
- 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 |
|---|---|---|---|
| 26D2091172 | Loving Hands Hospice, LLC | Certificate of waiver | Feb 5, 2027 |
| 26D2298166 | Loving Hands Hospice, LLC | Certificate of waiver | Jan 29, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| John L Heafner | Contracted Managing Employee | Jul 1, 2023 | |
| David C Gasmire | Corporate Officer | Oct 31, 2021 | |
| Corporate Director | Oct 22, 2024 | ||
| Colleen Dietmeyer | W-2 Managing Employee | Oct 16, 2023 | |
| Cypress Purchaser, LLC | 5% Or Greater Indirect Ownership Interest | Oct 22, 2024 | 100% |
| Cypress Midco, Inc. | 5% Or Greater Indirect Ownership Interest | Oct 22, 2024 | 100% |
| Three Oaks Hospice, Inc. | 5% Or Greater Direct Ownership Interest | Oct 31, 2021 | 100% |
| Operational/Managerial Control | Oct 31, 2021 | 100% | |
| Cypress Parent Holdings, LLC | 5% Or Greater Indirect Ownership Interest | Oct 22, 2024 | 100% |
| Martis Partners IV Cypress Aggregator LP | 5% Or Greater Indirect Ownership Interest | Oct 22, 2024 | 80.39% |
| Martis Partners IV, LP | 5% Or Greater Indirect Ownership Interest | Oct 22, 2024 | 63.1% |
| Lisa M Pekar | W-2 Managing Employee | Oct 31, 2021 | |
| Andrea F Bohannon | Corporate Officer | Oct 31, 2020 | |
| Corporate Director | Oct 31, 2021 | ||
| Ross J Taylor | Corporate Officer | Oct 22, 2024 | |
| Martis Partners IV PV, LP | 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.
-
- Family Medicine Physician
- Arnold, MO
- NPI 1255821906
Contracted Managing Employee
Facilities with the same owner 22
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Three Oaks Hospice
- Community Based Hospice Care Agency
- Independence, MO
- NPI 1851774368
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV PV, LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
-
dba Sage Hospice and Palliative Care
- Community Based Hospice Care Agency
- Scottsdale, AZ
- NPI 1881993970
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
-
dba Three Oaks Hospice
- Community Based Hospice Care Agency
- Hurst, TX
- NPI 1659741411
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV PV, LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
-
dba Three Oaks Hospice
- Community Based Hospice Care Agency
- Houston, TX
- NPI 1891947040
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV PV, LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
-
dba Agape Hospice Care
- Community Based Hospice Care Agency
- Villa Rica, GA
- NPI 1275895419
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
-
dba Agape Hospice Care
- Community Based Hospice Care Agency
- Woodstock, GA
- NPI 1043708803
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
-
dba Agape Hospice Care
- Community Based Hospice Care Agency
- Watkinsville, GA
- NPI 1952075582
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
-
dba Agape Hospice Care
- Community Based Hospice Care Agency
- Lawrenceville, GA
- NPI 1932538964
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
-
dba Three Oaks Hospice
- Community Based Hospice Care Agency
- The Woodlands, TX
- NPI 1669890810
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV PV, LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
-
dba Elevation Hospice
- Community Based Hospice Care Agency
- Arvada, CO
- NPI 1710374368
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
-
- Community Based Hospice Care Agency
- Draper, UT
- NPI 1154744548
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
-
dba Three Oaks Hospice
- Community Based Hospice Care Agency
- Beaumont, TX
- NPI 1861813172
Cypress Midco, Inc., Cypress Parent Holdings, LLC, Cypress Purchaser, LLC, Martis Partners IV Cypress Aggregator LP, Martis Partners IV PV, LP, Martis Partners IV, LP, Three Oaks Hospice, Inc.
Practitioners & affiliated clinicians
Affiliated clinicians 23
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Saint Louis, MO
- NPI 1124073630
Hospice
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.