Bishop Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

2287 Issued in TX

Legal business name

BISHOP HOSPICE, LLC

Doing business as

Elite Hospice of Texas

Practice address

4402 Broadway Blvd Ste 14a
Garland, TX 75043-8263

Phone

(972) 770-0597

Fax

(972) 770-0598

NPI assigned

Jun 5, 2007

Last updated

Dec 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shibu Samuel

Title

Ceo / Administrator

Phone

(972) 770-0597

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Elite Hospice of Texas Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992907521. Details of each certification follow.

• CCN 451776 Hospice · Active · Details

Hospice certification: CCN 451776

Legal name

BISHOP HOSPICE, LLC

Doing business as

ELITE HOSPICE OF TEXAS

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 24, 2004

Last certification

Apr 30, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Dec 8, 2003 in TX

Enrollment address

4402 Broadway Blvd, Ste 14a
Garland, TX 75043-3400

Listed as

Elite Hospice of TexasCCN 451776 · All quality measures

Ownership

For-Profit

Certified

Nov 24, 2004

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 1

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

Affiliated clinicians 2

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

• Syed M Jamal, MD

  • Internal Medicine Physician
  • Jacksboro, TX
  • NPI 1437157419

  Hospice

  Care Compare affiliation
• Neeraj Raman Sharma, M.D.

  • Internal Medicine Physician
  • Plano, TX
  • NPI 1750332425

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1992907521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 MEADOWSIDE CT",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750433721",
            "telephone_number": "972-770-0597",
            "fax_number": "972-770-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 BROADWAY BLVD STE 14A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750438263",
            "telephone_number": "972-770-0597",
            "fax_number": "972-770-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISHOP HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "SHIBU",
        "authorized_official_title_or_position": "CEO / ADMINISTRATOR",
        "authorized_official_telephone_number": "972-770-0597"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "2287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2287",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Hospice of Texas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elite Hospice of Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bio-Medical Applications of Texas, Inc. (Town Gate Dialysis Center)
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• Biomedical Engineering Technicians Inc (Assistive Technology Resources)
• Ajang Deng Bior, RN
• Avery Birdwell, CCC- SLP
• BKD Personal Assistance Services LLC (Personalized Living at Chambrel at Club Hill)
• Ruth Claire Black, MSN, ANP
• Annalisiya Bridgette Blair, PHLEBOTOMIST
• Latoya Blake
• Darlene Gay Blaylock, LCSW

• Community Based Hospice Care Agency in Garland, TX
• Providers in Garland, 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 Dec 23, 2024; 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.