Forest Gate Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FOREST GATE HOSPICE, INC.

Practice address

5045 Lorimar Dr Ste 240
Plano, TX 75093-5743

Phone

(972) 403-0448

Fax

(972) 403-0453

NPI assigned

Mar 16, 2016

Organization subpart

No

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

Authorized official

Name

Jackson Matthew

Title

Director of Operations

Phone

(469) 326-1700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Bright Star Hospice Care Doing business as
• Goldstar Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 741725

Legal name

FOREST GATE HOSPICE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 19, 2018

Last certification

Jan 16, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Apr 18, 2015 in TX

Enrollment address

5045 Lorimar Dr
Ste 240
Plano, TX 75093-5743

Listed as

Goldstar Hospice Inc.CCN 741725

Ownership

For-Profit

Certified

Mar 19, 2018

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

Locations

All disclosed owners & managing parties 6

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.

• Ahmed Mohammed Alobaidi, M.D.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1467778795

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1891156030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5045 LORIMAR DR STE 240",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935743",
            "telephone_number": "972-403-0448",
            "fax_number": "972-403-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 LORIMAR DR STE 240",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935743",
            "telephone_number": "972-403-0448",
            "fax_number": "972-403-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST GATE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "MATTHEW",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "469-326-1700"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017631",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Star Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Goldstar Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ted J Ford
• Tim Ford
• Walter Joe Ford Jr., DC
• Amber Dawn Foreman, PSYD
• Cristi Lee Foreman
• Forest Path Counseling & Wellness Lisa Fulfor PLLC
• Forever Fit
• Jessica Kim Forge, NP
• Tu Cam Bui Forkner
• Erin Brooks Forman, FNP-BC, FNP-C

• Community Based Hospice Care Agency in Plano, TX
• Providers in Plano, 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 Feb 26, 2026; 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.