Elite Hospice of Texas – Community Based Hospice Care Agency, NPI 1992907521

Elite Hospice of Texas is a healthcare provider. based in Garland, Texas. specializing in Community Based Hospice Care Agency. The organization holds a License No. 2287 (TX). The NPI Number for Elite Hospice of Texas is 1992907521

Main info

Organization
Name
Elite Hospice of Texas
NPI
1992907521
Phone
(972) 770-0597
Address
4402 BROADWAY BLVD STE 14A
Authorized Official
SHIBU SAMUEL CEO / ADMINISTRATOR
Enumeration Date
5 June 2007
Last Update Date
23 December 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Elite Hospice of Texas

  • 4402 BROADWAY BLVD STE 14A

    GARLAND, TX 750438263

    Phone: (972) 770-0597

    Fax: (972) 770-0598

    Type: Location

  • 2712, Hurstview Drive, Hurst, Tarrant County, Texas, 76054, United States

    HURST, TX 760542402

    Phone: (817) 281-6707

    Type: Mailing

  • 13601 PRESTON RD STE# E0600

    DALLAS, TX 752404936

    Phone: (972) 770-0597

    Fax: (972) 770-0598

    Type: Location

  • 809 MEADOWSIDE CT

    GARLAND, TX 750433721

    Phone: (972) 770-0597

    Fax: (972) 770-0598

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-07-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-02-29 (834 days ago).

Enrollment records

1

Earliest due date

2024-02-29

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20120705000676OHospiceTX2024-02-29

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75043)

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Reviews

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Frequently asked questions

How do payers reference Elite Hospice of Texas?
For Elite Hospice of Texas, use NPI 1992907521 as the unique 10-digit identifier.
Would Elite Hospice of Texas appear as active to a payer?
You can treat Elite Hospice of Texas as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is Elite Hospice of Texas?
Elite Hospice of Texas is associated with Community Based Hospice Care Agency in the directory — Clinical services aligned with this taxonomy classification.
Where in Texas is Elite Hospice of Texas registered?
Use Garland, Texas as the headline location for Elite Hospice of Texas here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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