NPIMap

Organization Active NPI

Arabella Palliative & Hospice Care, LLC

  • Community Based Hospice Care Agency
  • Allen, TX
National Provider Identifier
1891201182
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ARABELLA PALLIATIVE & HOSPICE CARE, LLC
Doing business as
Arabella Palliative and Hospice Care, LLC
Practice address
309 S. Jupiter Rd
Suite 100
Allen, TX 75002-3052
Phone
(469) 545-1995
Fax
(214) 785-7195
NPI assigned
Dec 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Mrs. Neva Leann Jackson, BSW
Title
Administrator
Phone
(214) 334-6395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

309 S. Jupiter Rd
Suite 100
Allen, TX 75002-3052

Mailing address

309 S. Jupiter Rd.
Suite 100
Allen, TX 75002-3052
Phone (469) 545-1995

Other names 1

  • Arabella Palliative and Hospice Care, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180215002632 TX Part A Provider - Hospice 3577823301 Practice locations: Allen, TX

Hospice certification: CCN 741745

Legal name
ARABELLA PALLIATIVE & HOSPICE CARE, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 23, 2018
Last certification
Jul 12, 2022
Ownership / control type
Other
Organization structure
LLCProprietary
Incorporated
Feb 21, 2017 in TX
Enrollment address
309 S Jupiter Rd
Ste 100
Allen, TX 75002-3052

Care Compare: Hospice

Medicare Care Compare
Listed as
Arabella Palliative and Hospice Care, LLCCCN 741745
Ownership
Other
Certified
Aug 23, 2018
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
45D2139469Arabella Palliative and Hospice Care309 S Jupiter Rd Ste 100, Allen, TX 75002Certificate of waiverNov 2, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Arianah Grant Individual 5% Or Greater Direct Ownership Interest Feb 21, 2017 33.33%
W-2 Managing EmployeeSecretary/Governing Body Member Feb 21, 2017
Operational/Managerial Control Feb 21, 2017 33.33%
Sharon Pifer Individual 5% Or Greater Direct Ownership Interest Jan 6, 2019 33.33%
Corporate Officer Jan 6, 2019 33.33%
W-2 Managing Employee Jan 6, 2019 33.33%
Operational/Managerial ControlPresident/Governing Body Member Jan 6, 2019 33.33%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1891201182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S. JUPITER RD.",
            "address_2": "SUITE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023052",
            "telephone_number": "469-545-1995",
            "fax_number": "214-785-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S. JUPITER RD",
            "address_2": "SUITE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750023052",
            "telephone_number": "469-545-1995",
            "fax_number": "214-785-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARABELLA PALLIATIVE & HOSPICE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "NEVA",
        "authorized_official_middle_name": "LEANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-334-6395",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arabella Palliative and Hospice Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.