M & L Medical Services Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

M & L MEDICAL SERVICES HOSPICE INC

Practice address

1801 N Hampton Rd Ste 333
Desoto, TX 75115-2391

Phone

(972) 228-8500

NPI assigned

Oct 15, 2012

Last updated

May 25, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patricia Moore

Title

Ceo

Phone

(972) 228-8500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881946861. Details of each certification follow.

• CCN 741500 Hospice · Active · Details

Hospice certification: CCN 741500

Legal name

M & L MEDICAL SERVICES HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 26, 2013

Last certification

Nov 3, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Oct 2, 2012 in TX

Enrollment address

610 Uptown Blvd
Ste 2000
Cedar Hill, TX 75104-3528

Listed as

M & L Medical Services Hospice IncCCN 741500 · All quality measures

Ownership

For-Profit

Certified

Dec 26, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

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

Affiliated clinicians 1

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

• James E Race

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1942268586

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1881946861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N HAMPTON RD STE 333",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152391",
            "telephone_number": "972-228-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N HAMPTON RD STE 333",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152391",
            "telephone_number": "972-228-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & L MEDICAL SERVICES HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-228-8500"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173841101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felicia Olive Lucero
• Rosa A Luna, RN, FNP
• Lva Quality Home Health Care, LLC
• Mia Lynch
• Shawnequa Lyons
• Juanita Yvette Madison
• Obioma Queeneth Madubuike, PSYCH NP
• Thessalian Maeweather, B.A, M.A, BCBA, LBA
• Magnolia Therapeutic Solutions (Magnolia Therapeutic Services)
• Mahesh Kottapalli, M.D., P.a.

• Community Based Hospice Care Agency in Desoto, TX
• Providers in Desoto, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.