Organization Active NPI

Lutheran Sunset Ministries

Doing business as Hospice Sunset

  • Community Based Hospice Care Agency
  • Clifton, TX
National Provider Identifier
1932147501
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
LUTHERAN SUNSET MINISTRIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001015019MedicaidTX

Other names 1

  • Hospice Sunset Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationNon-profit
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.

Care Compare: Hospice

Medicare Care Compare
Listed as
Hospice SunsetCCN 671557 · All quality measures
Ownership
Non-Profit
Certified
Jan 24, 2007
Medicare certification status
ActiveFrom the Provider of Services file

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.

NameRoleSinceShare
Joyce Symank Individual Corporate OfficerMember-Board of Directors May 1, 2011
Jenny Walker Individual Corporate OfficerMember-Board of Directors May 1, 2011
Michele Lloyd Individual W-2 Managing EmployeeHospice Administrator May 25, 2010
Nancy Bratcher Individual Corporate OfficerSecretary- Board of Directors Mar 9, 2008
Albert Herzog Individual Corporate OfficerMember- Board of Directors May 5, 2013
Larissa Montes Individual Corporate OfficerHospice Adminstrator Feb 28, 2022
Adam Williams Individual Corporate OfficerMember-Board of Directors May 9, 2010
Lutheran Sunset Ministries Organization, Clifton, TX Non-profit 5% Or Greater Direct Ownership Interest Mar 12, 2015 100%
Phyllis Gamble Individual Corporate OfficerVice Chairman-Board of Directors Mar 8, 2009
Sandra Windsor Individual Corporate OfficerMember-Board of Directors May 9, 2010
Paul Edge Individual Corporate OfficerMember-Board of Directors Mar 8, 2009
Richard Krupika Individual Corporate OfficerTreasurer- Board of Directors Mar 8, 2009
Rodney Rueter Individual Corporate OfficerCeo Dec 15, 2008
Corporate Director Jan 9, 2009
W-2 Managing Employee Jan 9, 2009
Jimmy Hanes Individual Corporate OfficerChairman-Board of Directors Mar 9, 2008
Pat Dietrich Individual Corporate OfficerMember-Board of Directors May 5, 2013
Deborah Pollei Individual Corporate OfficerMember- Board of Directors May 4, 2014
Gary L Becker Individual Corporate OfficerMember-Board of Directors May 6, 2012
Gene Miller Individual Corporate OfficerMember-Board of Directors 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.

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

Verify at the official NPI Registry.