Active NPI
Lutheran Sunset Ministries
Doing business as Hospice Sunset
- Community Based Hospice Care Agency
- Clifton, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- LUTHERAN SUNSET MINISTRIES
- Doing business as
- Hospice Sunset
- Practice address
- 410 N Avenue G
Clifton, TX 76634-1530 - Phone
- (254) 675-3391
- Fax
- (254) 675-3493
- NPI assigned
- Jun 3, 2006
- Last updated
- Aug 13, 2008
- Organization subpart
- Yes
- Parent organization
- LUTHERAN SUNSET MINISTRIES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Calvin O. Goerdel, REVEREND
- Title
- President/Chief Executive Officer
- Phone
- (254) 675-8637
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | TX | Primary |
Addresses
Primary practice location
410 N Avenue G
Clifton, TX 76634-1530
Mailing address
410 N. Ave G
Clifton, TX 76634-0071
Phone (254) 675-3391
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001015019 | Medicaid | TX |
Other names 1
- Hospice Sunset
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060605000273 | TX | Part A Provider - Hospice | 4688685720 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Clifton, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1932147501. Details of each certification follow.
Hospice certification: CCN 671557
- Legal name
- LUTHERAN SUNSET MINISTRIES
- Doing business as
- HOSPICE SUNSET
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jan 24, 2007
- Last certification
- Jul 22, 2021
- Ownership / control type
- Other
- Organization structure
- Corporation
- Incorporated
- Mar 29, 1954 in TX
- Enrollment address
- 410 W 5TH St
Clifton, TX 76634-1613
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Hospice Susnet
- Community Based Hospice Care Agency
- Clifton, TX
- NPI 1396872651
O20060605000273
Care Compare: Hospice
Medicare Care Compare- Listed as
- Hospice Sunset
- Ownership
- Non-Profit
- Certified
- Jan 24, 2007
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Part of
- Lutheran Sunset Ministries
Locations
410 N Avenue G
Clifton, TX 76634
Phone (254) 675-3391
Ownership & related parties
All disclosed owners & managing parties 18
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Joyce Symank | Corporate Officer | May 1, 2011 | |
| Jenny Walker | Corporate Officer | May 1, 2011 | |
| Michele Lloyd | W-2 Managing Employee | May 25, 2010 | |
| Nancy Bratcher | Corporate Officer | Mar 9, 2008 | |
| Albert Herzog | Corporate Officer | May 5, 2013 | |
| Larissa Montes | Corporate Officer | Feb 28, 2022 | |
| Adam Williams | Corporate Officer | May 9, 2010 | |
| Lutheran Sunset Ministries | 5% Or Greater Direct Ownership Interest | Mar 12, 2015 | 100% |
| Phyllis Gamble | Corporate Officer | Mar 8, 2009 | |
| Sandra Windsor | Corporate Officer | May 9, 2010 | |
| Paul Edge | Corporate Officer | Mar 8, 2009 | |
| Richard Krupika | Corporate Officer | Mar 8, 2009 | |
| Rodney Rueter | Corporate Officer | Dec 15, 2008 | |
| Corporate Director | Jan 9, 2009 | ||
| W-2 Managing Employee | Jan 9, 2009 | ||
| Jimmy Hanes | Corporate Officer | Mar 9, 2008 | |
| Pat Dietrich | Corporate Officer | May 5, 2013 | |
| Deborah Pollei | Corporate Officer | May 4, 2014 | |
| Gary L Becker | Corporate Officer | May 6, 2012 | |
| Gene Miller | Corporate Officer | May 1, 2011 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Hospice Susnet
- Community Based Hospice Care Agency
- Clifton, TX
- NPI 1396872651
5% Or Greater Direct Ownership Interest
Practitioners & affiliated clinicians
Affiliated clinicians 4
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": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218585600000",
"number": "1932147501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 N. AVE G",
"city": "CLIFTON",
"state": "TX",
"postal_code": "766340071",
"telephone_number": "254-675-3391",
"fax_number": "254-675-3493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 N AVENUE G",
"city": "CLIFTON",
"state": "TX",
"postal_code": "766341530",
"telephone_number": "254-675-3391",
"fax_number": "254-675-3493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUTHERAN SUNSET MINISTRIES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LUTHERAN SUNSET MINISTRIES",
"enumeration_date": "2006-06-03",
"last_updated": "2008-08-13",
"status": "A",
"authorized_official_last_name": "GOERDEL",
"authorized_official_first_name": "CALVIN",
"authorized_official_middle_name": "O.",
"authorized_official_title_or_position": "PRESIDENT/CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "254-675-8637",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "REVEREND"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001015019",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hospice Sunset",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clifton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.