KMS Health Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

KMS HEALTH INC

Doing business as

Bristol Hospice - Dallas

Practice address

16901 Dallas Pkwy Ste 114
Addison, TX 75001-5218

Phone

(214) 221-9216

Fax

(214) 221-9262

NPI assigned

Jun 12, 2007

Organization subpart

No

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

Authorized official

Name

Alex E Mauricio

Title

President

Phone

(801) 325-0175

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bristol Hospice - Dallas Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Hospice certification: CCN 671622

Legal name

KMS HEALTH INC

Doing business as

BRISTOL HOSPICE - DALLAS

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 6, 2009

Last certification

Jan 28, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Enrollment address

16901 Dallas Pkwy
Ste 114
Addison, TX 75001-5218

Listed as

Bristol Hospice - DallasCCN 671622 · All quality measures

Ownership

For-Profit

Certified

May 6, 2009

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 12

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

Owners & managing parties with NPI records 1

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

• Julio Jose Andino-Velez, M.D.

  • Neurology Physician
  • Rockwall, TX
  • NPI 1629224670

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 52

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

• Bristol Hospice - Pathways LLC

  dba Bristol Hospice - North Central Texas

  • Community Based Hospice Care Agency
  • Waxahachie, TX
  • NPI 1568710358

  Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

  CMS ownership
• Bristol Hospice-Texas LLC

  • Community Based Hospice Care Agency
  • The Woodlands, TX
  • NPI 1649563552

  Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

  CMS ownership
• Bristol Hospice - Bangor, LLC

  • Community Based Hospice Care Agency
  • Bangor, ME
  • NPI 1336916469

  Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

  CMS ownership
• Bristol Hospice - Bend, L.L.C.

  • Community Based Hospice Care Agency
  • Bend, OR
  • NPI 1356916845

  Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

  CMS ownership
• Bristol Hospice - Blue Bell, LLC

  • Community Based Hospice Care Agency
  • Plymouth Meeting, PA
  • NPI 1356118467

  Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

  CMS ownership
• Bristol Hospice - California, LLC

  • Community Based Hospice Care Agency
  • Merced, CA
  • NPI 1487603452

  Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

  CMS ownership
• Bristol Hospice - Charleston, LLC

  • Community Based Hospice Care Agency
  • North Charleston, SC
  • NPI 1326866963

  Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

  CMS ownership
• Bristol Hospice - Chicago, L.L.C.

  • Community Based Hospice Care Agency
  • Des Plaines, IL
  • NPI 1104548478

  Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

  CMS ownership
• Bristol Hospice - Eugene, LLC

  • Community Based Hospice Care Agency
  • Springfield, OR
  • NPI 1568962033

  Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

  CMS ownership
• Bristol Hospice - Georgia LLC

  • Community Based Hospice Care Agency
  • Atlanta, GA
  • NPI 1558663872

  Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

  CMS ownership
• Bristol Hospice - Green Bay, L.L.C.

  • Community Based Hospice Care Agency
  • Green Bay, WI
  • NPI 1356928154

  Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

  CMS ownership
• Bristol Hospice - Hawaii, LLC

  dba Bristol Healthcare Services

  • Community Based Hospice Care Agency
  • Honolulu, HI
  • NPI 1811045594

  Bristol Hospice Holdings Inc, Bristol Hospice Topco Inc, Bristol Hospice, L.L.C., Bristol Ultimate Holdco, LP, Webster Equity Partners Bristol CF LP, Webster Equity Partners IV Bristol CF LP

  CMS ownership

Affiliated clinicians 7

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

• Julio Jose Andino-Velez, M.D.

  • Neurology Physician
  • Rockwall, TX
  • NPI 1629224670

  Hospice

  Care Compare affiliation
• Cindy Lea George, M.D.

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1518284314

  Hospice

  Care Compare affiliation
• Roger S Khetan, M.D.

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1134143134

  Hospice

  Care Compare affiliation
• Chibuike Uzoma Okoro, MD

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1811197338

  Hospice

  Care Compare affiliation
• Derek Ian Skinner, MD

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1255394920

  Hospice

  Care Compare affiliation
• Lindy Thomas, PA

  • Physician Assistant
  • Tahoka, TX
  • NPI 1285638973

  Hospice

  Care Compare affiliation
• David Glenn Troutman, MD

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1174747414

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1952505240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N 2100 W STE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841164741",
            "telephone_number": "801-325-0175",
            "fax_number": "801-478-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16901 DALLAS PKWY STE 114",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750015218",
            "telephone_number": "214-221-9216",
            "fax_number": "214-221-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMS HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "MAURICIO",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-325-0175"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032070",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristol Hospice - Dallas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa King, LPC-ASSOCIATE
• Dayna Kinney, PMHNP-BC
• Kintrol Rehab and Sportrs Performance
• Kip Queenan MD, PLLC
• Holland Kitten, DPT
• Krystal Knight
• Knoll Trail Pain Procedure Center
• Christopher Brandond Knutson, D.C.
• Makenzie Jane Koehn, D.C.
• Kelsie Lynn Koenig, M.ED., BCBA, LBA

• Community Based Hospice Care Agency in Addison, TX
• Providers in Addison, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.

Verify at the official NPI Registry.