Organization Active NPI

Crystal Hospice Care LLC

  • Community Based Hospice Care Agency
  • Richardson, TX
National Provider Identifier
1902329147
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CRYSTAL HOSPICE CARE LLC
Practice address
801 E Campbell Rd Ste 142
Richardson, TX 75081-1856
Phone
(469) 327-5590
Fax
(469) 327-5557
NPI assigned
Jul 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2025

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

Authorized official

Name
Timothy Noonan
Title
Ceo
Phone
(469) 327-5590

Specialties & licenses 1

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

Addresses

Primary practice location

801 E Campbell Rd Ste 142
Richardson, TX 75081-1856

Mailing address

801 E Campbell Rd Ste 142
Richardson, TX 75081-1856
Phone (469) 327-5590

Other identifiers 1

IdentifierTypeStateIssuer
001030974MedicaidTX

Other names 1

  • Sterling Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201223002641 TX Part A Provider - Hospice 8123430782 Practice locations: Richardson, TX

Hospice certification: CCN 741763

Legal name
CRYSTAL HOSPICE CARE LLC
Doing business as
STERLING HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 9, 2018
Last certification
Sep 30, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
801 E Campbell Rd
Ste 142
Richardson, TX 75081-1856

Care Compare: Hospice

Medicare Care Compare
Listed as
Sterling HospiceCCN 741763
Ownership
For-Profit
Certified
Nov 9, 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
45D2138579Crystal Hospice Care, LLC801 E Campbell Road, Richardson, TX 75081Certificate of waiverOct 19, 2027

National Provider Directory

National Provider Directory

Locations

14110 Dallas Pkwy
Ste 170
Dallas, TX 75254
Phone (214) 941-9522

14140 Midway Rd
Ste 104
Farmers Branch, TX 75244
Phone (214) 941-9522

801 E Campbell Rd
Ste 142
Richardson, TX 75081
Phone (469) 327-5590

Ownership & related parties

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.

NameRoleSinceShare
Richie Rich Solutions LLC Organization, Dallas, TX Holding company 5% Or Greater Direct Ownership Interest Jun 11, 2025 50%
Steven R Bray Individual Contracted Managing EmployeeMD; Jun 11, 2025 100%
Xanthe Davis Individual W-2 Managing EmployeeAd; Nov 24, 2025 100%
Timothy Noonan Individual 5% Or Greater Indirect Ownership InterestCeo Jun 11, 2025 50%
Corporate OfficerCeo Jun 11, 2025 100%
Corporate DirectorCeo Jun 11, 2025 100%
W-2 Managing EmployeeCeo Jun 11, 2025 100%
Operational/Managerial ControlCeo Jun 11, 2025 100%
Richie Rodriguez Individual 5% Or Greater Indirect Ownership InterestCoo Jun 11, 2025 50%
TNJN Holdings LLC Organization, Prosper, TX Holding company 5% Or Greater Direct Ownership Interest Jun 11, 2025 50%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 2

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

Affiliated clinicians 3

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": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752278400000",
    "number": "1902329147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 E CAMPBELL RD STE 142",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811856",
            "telephone_number": "469-327-5590",
            "fax_number": "469-327-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E CAMPBELL RD STE 142",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811856",
            "telephone_number": "469-327-5590",
            "fax_number": "469-327-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A",
        "authorized_official_last_name": "NOONAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-327-5590"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001030974",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sterling Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

Verify at the official NPI Registry.