NPIMap

Organization Active NPI

Ag Hospice LLC

Doing business as Three Oaks Hospice

  • Community Based Hospice Care Agency
  • Houston, TX
National Provider Identifier
1891947040
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
12501 Issued in TX
Legal business name
AG HOSPICE LLC
Doing business as
Three Oaks Hospice
Three Oaks Hospice and Palliative Care
Three Oaks Hospice Greater Houston2 more in Other names
Practice address
16420 Park Ten PL Ste 240
Houston, TX 77084-5299
Phone
(832) 437-2089
Fax
(832) 437-2090
NPI assigned
Oct 21, 2008
Last updated
Aug 23, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
THREE OAKS HOSPICE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 12501 TX Primary

Addresses

Primary practice location

16420 Park Ten PL Ste 240
Houston, TX 77084-5299

Mailing address

717 N Harwood St Ste 550
Dallas, TX 75201-6540
Phone (214) 628-9951

Other names 5

  • THREE OAKS HOSPICE Doing business as
  • THREE OAKS HOSPICE AND PALLIATIVE CARE Doing business as
  • THREE OAKS HOSPICE GREATER HOUSTON Doing business as
  • THREE OAKS HOSPICE HOUSTON Doing business as
  • THREE OAKS HOSPICE HOUSTON WEST Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090331000262 TX Part A Provider - Hospice 4082771399 Practice locations: Houston, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891947040. Details of each certification follow.

Hospice certification: CCN 671635

Legal name
AG HOSPICE LLC
Doing business as
THREE OAKS HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 21, 2009
Last certification
Sep 2, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Feb 10, 2006 in TX
Enrollment address
16420 Park Ten PL
Ste 240
Houston, TX 77084-5299

Care Compare: Hospice

Medicare Care Compare
Listed as
Three Oaks HospiceCCN 671635 · All quality measures
Ownership
For-Profit
Certified
Aug 21, 2009
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
45D1094122Ag Hospice, LLC, Dba Three Oaks Hospice16420 Park Ten Place, Suite 240, Houston, TX 77084Certificate of waiverJan 8, 2027

National Provider Directory

National Provider Directory

Locations

16420 Park Ten Pl
Ste 220
Houston, TX 77084
Phone (832) 437-2089

5502 4th St
Katy, TX 77493
Phone (281) 222-6774

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
David C Gasmire Individual Corporate OfficerVice President Jan 7, 2021
Corporate DirectorBoard of Directors, Member Oct 22, 2024
Michael Ngo Individual Contracted Managing EmployeeMD; Jul 27, 2022
Cypress Purchaser, LLC Organization, Washington, DC Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 22, 2024 100%
Cypress Midco, Inc. Organization, Coconut Grove, FL Created for acquisition, Corporation, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 22, 2024 100%
Three Oaks Hospice, Inc. Organization, Dallas, TX Corporation, For-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 7, 2021 100%
Operational/Managerial Control Jan 7, 2021 100%
Cypress Parent Holdings, LLC Organization, Washington, DC Created for acquisition, LLC, Holding company, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 22, 2024 100%
Owen Davis Individual Corporate DirectorBoard of Directors, Chairman Oct 22, 2024
Other Oct 22, 2024
Carlea Brock Individual W-2 Managing EmployeeAd; Jan 13, 2025
Kelly a Priegnitz Individual Corporate DirectorBoard of Directors, Member Oct 22, 2024
Other Oct 22, 2024
Martis Partners IV Cypress Aggregator LP Organization, Washington, DC Created for acquisition, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 22, 2024 80.39%
Martis Partners IV GP, LLC Organization, Washington, DC LLC, Owned by another organization or individual Other Oct 22, 2024
Phillip Campbell Individual Corporate DirectorBoard of Directors, Member Oct 22, 2024
Other Oct 22, 2024
Martis Partners IV, LP Organization, Washington, DC Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Oct 22, 2024 63.1%
Lisa M Pekar Individual W-2 Managing EmployeeDirector of Licensure Jan 7, 2021
Andrea F Bohannon Individual Corporate OfficerPresident, Ceo, Asst Secretary Jan 7, 2021
Corporate DirectorBoard of Directors, Member Jan 7, 2021
Ross J Taylor Individual Corporate OfficerSecretary Oct 22, 2024
Martis Partners IV PV, LP Organization, Washington, DC Owned by another organization or individual 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.

Facilities with the same owner 22

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

  • Abs Palliative and Hospice Care LLC

    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.

    CMS ownership
  • Alliance Hospice LLC

    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.

    CMS ownership
  • Global Hospice Care 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.

    CMS ownership
  • Godly Hospice and Palliative Care LLC

    dba Three Oaks Hospice

    • Community Based Hospice Care Agency
    • Longview, TX
    • NPI 1780101642

    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.

    CMS ownership
  • Hospice del Norte LLC

    dba Three Oaks Hospice

    • Community Based Hospice Care Agency
    • El Paso, TX
    • NPI 1457806242

    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.

    CMS ownership
  • Radiant Care Hospice LLC

    dba Three Oaks Hospice

    • Community Based Hospice Care Agency
    • Rockwall, TX
    • NPI 1508174699

    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.

    CMS ownership
  • Three Oaks Hospice Austin LLC

    dba Three Oaks Hospice

    • Community Based Hospice Care Agency
    • Austin, TX
    • NPI 1093334765

    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.

    CMS ownership
  • Three Oaks Hospice Dallas Inc

    dba Three Oaks Hospice

    • Community Based Hospice Care Agency
    • Richardson, TX
    • NPI 1720648660

    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.

    CMS ownership
  • Unity Hospice Care LLC

    dba Three Oaks Hospice

    • Community Based Hospice Care Agency
    • San Antonio, TX
    • NPI 1831574193

    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.

    CMS ownership
  • A Servants Heart Hospice LLC

    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.

    CMS ownership
  • Agape Hospice Care of Carollton, LLC

    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.

    CMS ownership
  • Agape Hospice Care of Cherokee County, LLC

    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.

    CMS ownership
View all 22

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 8

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

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724371200000",
    "number": "1891947040",
    "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": "16420 PARK TEN PL STE 240",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845299",
            "telephone_number": "832-437-2089",
            "fax_number": "832-437-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG HOSPICE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THREE OAKS HOSPICE INC",
        "enumeration_date": "2008-10-21",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "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": "TX",
            "license": "12501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THREE OAKS HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THREE OAKS HOSPICE AND PALLIATIVE CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THREE OAKS HOSPICE GREATER HOUSTON",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THREE OAKS HOSPICE HOUSTON",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THREE OAKS HOSPICE HOUSTON WEST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.