Organization Active NPI

Merit Hospice, LLC

  • Community Based Hospice Care Agency
  • Dallas, TX
National Provider Identifier
1952848012
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
MERIT HOSPICE, LLC
Practice address
8150 N Central Expy Ste M2060
Dallas, TX 75206-1815
Phone
(214) 368-1154
Fax
(214) 368-1155
NPI assigned
Jan 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Jennifer Beckham
Title
Director
Phone
(214) 368-1154

Specialties & licenses 1

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

Addresses

Primary practice location

8150 N Central Expy Ste M2060
Dallas, TX 75206-1815

Mailing address

8150 N Central Expy Ste M2060
Dallas, TX 75206-1815
Phone (214) 368-1154

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180501002763 TX Part A Provider - Hospice 8527322486 Practice locations: Dallas, TX

Hospice certification: CCN 741741

Legal name
MERIT HOSPICE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 23, 2018
Last certification
Feb 24, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Dec 7, 2016 in TX
Enrollment address
8350 N Central Expy
Ste M1019
Dallas, TX 75206-1600

Care Compare: Hospice

Medicare Care Compare
Listed as
Merit Hospice LLCCCN 741741
Ownership
For-Profit
Certified
Aug 23, 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
45D2133201Merit Hospice, LLC8350 N Central Expressway Suite M1019, Dallas, TX 75206Certificate of waiverMar 26, 2028

National Provider Directory

National Provider Directory
Tax ID family
Merit Hospice LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8150 N Central Expy
Ste M2105
Dallas, TX 75206

8350 N Central Expy
Ste M1019
Dallas, TX 75206
Phone (214) 368-1154

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Thomas Shults Individual 5% Or Greater Direct Ownership InterestOwner, Ceo Dec 7, 2016 100%
Corporate DirectorOwner, Ceo Dec 7, 2016 100%
W-2 Managing EmployeeOwner, Ceo Dec 7, 2016 100%
Operational/Managerial ControlOwner, Ceo Dec 7, 2016 100%

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

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": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1952848012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 N CENTRAL EXPY STE M2060",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061815",
            "telephone_number": "214-368-1154",
            "fax_number": "214-368-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 N CENTRAL EXPY STE M2060",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061815",
            "telephone_number": "214-368-1154",
            "fax_number": "214-368-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIT HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-27",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "BECKHAM",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-368-1154"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.