Elysian Hospice Houston LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

APPLIED FOR Issued in TX

Legal business name

ELYSIAN HOSPICE HOUSTON LLC

Practice address

11104 W Airport Blvd Ste 212B
Stafford, TX 77477-3197

Phone

(281) 333-2458

Fax

(281) 335-5539

NPI assigned

Feb 22, 2016

Organization subpart

No

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

Authorized official

Name

Robin F. Underhill

Title

Chief Executive Officer

Phone

(214) 954-4114

Specialties & licenses 2

Addresses

Other names 1

• Elysian Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 671786

Legal name

ELYSIAN HOSPICE HOUSTON LLC

Doing business as

ELYSIAN HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 4, 2013

Last certification

Sep 18, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Feb 10, 2016 in TX

Enrollment address

11104 W Airport Blvd
Ste 212B
Stafford, TX 77477-3197

Listed as

Elysian HospiceCCN 671786

Ownership

For-Profit

Certified

Oct 4, 2013

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

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

• Elysian Hospice LLC

  • Community Based Hospice Care Agency
  • Addison, TX
  • NPI 1568633220

  Member Of

  NPD member

Locations

All disclosed owners & managing parties 19

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

Owners & managing parties with NPI records 2

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

• Elysian Hospice LLC

  • Community Based Hospice Care Agency
  • Addison, TX
  • NPI 1568633220

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Anisha Vakil Waxali, MD

  • Internal Medicine Physician
  • Sugar Land, TX
  • NPI 1790773042

  W-2 Managing Employee

  CMS ownership

Facilities with the same owner 8

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

• Cantex Home Health Austin LLC

  • Home Health Agency
  • Round Rock, TX
  • NPI 1245672310

  Bratex, Inc., Cantex Health Care Centers II LLC, Cantex Health Care Centers III LLC, Cantex Health Care Centers LLC, Concord Wood Investments, LTD, Gamtex, Inc, Gotex Investments (USA), Inc., LB Belon LLC, Medcare Management Holdings Inc, Ontex,

  CMS ownership
• Cantex Home Health Fort Worth LLC

  • Home Health Agency
  • San Antonio, TX
  • NPI 1356782536

  Bratex, Inc., Cantex Health Care Centers II LLC, Cantex Health Care Centers III LLC, Cantex Health Care Centers LLC, Concord Wood Investments, LTD, Gamtex, Inc, Gotex Investments (USA), Inc., LB Belon LLC, Medcare Management Holdings Inc, Ontex,

  CMS ownership
• Cantex Home Health Houston LLC

  • Home Health Agency
  • Stafford, TX
  • NPI 1962781443

  Bratex, Inc., Cantex Health Care Centers II LLC, Cantex Health Care Centers III LLC, Cantex Health Care Centers LLC, Concord Wood Investments, LTD, Gamtex, Inc, Gotex Investments (USA), Inc., Medcare Management Holdings Inc, Ontex, Inc

  CMS ownership
• Cantex Home Health Lewisville LLC

  • Home Health Agency
  • Addison, TX
  • NPI 1689953168

  Bratex, Inc., Cantex Health Care Centers II LLC, Cantex Health Care Centers III LLC, Cantex Health Care Centers LLC, Concord Wood Investments, LTD, Gamtex, Inc, Gotex Investments (USA), Inc., Medcare Management Holdings Inc, Ontex, Inc

  CMS ownership
• Cantex Home Health North Houston LLC

  • Home Health Agency
  • Conroe, TX
  • NPI 1619457579

  Bratex, Inc., Cantex Health Care Centers II LLC, Cantex Health Care Centers III LLC, Cantex Health Care Centers LLC, Concord Wood Investments, LTD, Gamtex, Inc, Gotex Investments (USA), Inc., LB Belon LLC, Medcare Management Holdings Inc, Ontex,

  CMS ownership
• Cantex Home Health Tarrant County LLC

  • Home Health Agency
  • Fort Worth, TX
  • NPI 1497235352

  Bratex, Inc., Cantex Health Care Centers II LLC, Cantex Health Care Centers III LLC, Cantex Health Care Centers LLC, Concord Wood Investments, LTD, Gamtex, Inc, Gotex Investments (USA), Inc., LB Belon LLC, Medcare Management Holdings Inc, Ontex,

  CMS ownership
• Elysian Hospice LLC

  • Community Based Hospice Care Agency
  • Addison, TX
  • NPI 1568633220

  Bratex, Inc., Cantex Continuing Care Network LLC, Cantex Health Care Centers II LLC, Cantex Health Care Centers III LLC, Cantex Health Care Centers LLC, Concord Wood Investments, LTD, Gamtex, Inc, Gotex Investments (USA), Inc., LB Belon LLC, Medc

  CMS ownership
• Elysian Hospice San Antonio LLC

  • Community Based Hospice Care Agency
  • San Antonio, TX
  • NPI 1851885172

  Bratex, Inc., Cantex Continuing Care Network LLC, Cantex Health Care Centers II LLC, Cantex Health Care Centers III LLC, Cantex Health Care Centers LLC, Concord Wood Investments, LTD, Elysian Hospice LLC, Gotex Investments (USA), Inc., LB Belon LL

  CMS ownership

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Adonai Light Hospice LLC

  • Community Based Hospice Care Agency
  • Houston, TX
  • NPI 1962799551

  Acquired from, 2016-03-14

  CMS change of ownership

Affiliated clinicians 2

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

• Lloyd P Vanwinkle, MD

  • Family Medicine Physician
  • Castroville, TX
  • NPI 1306833173

  Hospice

  Care Compare affiliation
• Anisha Vakil Waxali, MD

  • Internal Medicine Physician
  • Sugar Land, TX
  • NPI 1790773042

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697760000000",
    "number": "1881053643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 GOLDEN BEAR DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750062377",
            "telephone_number": "214-954-4114",
            "fax_number": "214-880-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 W AIRPORT BLVD STE 212B",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773197",
            "telephone_number": "281-333-2458",
            "fax_number": "281-335-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSIAN HOSPICE HOUSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-22",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A",
        "authorized_official_last_name": "UNDERHILL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "214-954-4114"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "APPLIED FOR",
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "TX",
            "license": "APPLIED FOR",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elysian Hospice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elysian Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Stafford, TX
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; 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.

Verify at the official NPI Registry.