BESPOKE HOSPICE CARE LLC
NPI 1215670096
Hospice Care, Community Based in North Richland Hills, TX
About Bespoke Hospice Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BESPOKE HOSPICE CARE LLC (NPI 1215670096), doing business as Ja Freedom Holdings Llc, is a healthcare organization registered as a hospice care, community based in North Richland Hills, Texas and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through January 10, 2027 and lists Tyler Clark Mckibben, Cfo/coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D2274888
Bespoke Hospice Care, LLC · North Richland Hills, TXHospice Care Quality CMS Care Compare
Quality measures, care settings and the Hospice Care Index for Bespoke Hospice Care LLC (CMS certification number A91583), from CMS Care Compare.
Bespoke Hospice Care LLC
Hospice · North Richland Hills, TXFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bespoke Hospice Care LLC's NPI number?
The NPI number for Bespoke Hospice Care LLC is 1215670096. It was assigned to this organization in the NPPES registry on April 19, 2022. The provider was formerly known as Ja Freedom Holdings LLC.
Where is Bespoke Hospice Care LLC located?
Bespoke Hospice Care LLC is located at 9001 Airport Fwy Ste 580, North Richland Hills, TX 76180. The listed phone number is (214) 957-9899.
What is Bespoke Hospice Care LLC's specialty?
The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.
Does Bespoke Hospice Care LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2274888) is associated with this NPI, valid through January 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
Is Bespoke Hospice Care LLC a Medicare-certified hospice?
Yes. Bespoke Hospice Care LLC is a Medicare-certified hospice (CMS certification number A91583), certified since April 17, 2023.
When was this NPI record last updated?
The NPPES record for Bespoke Hospice Care LLC was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bespoke Hospice Care Llc · NPI 1215670096
Hospice Care, Community Based organization in North Richland Hills, Texas. Organization record, active in the CMS NPPES registry since April 19, 2022.
## Identity
- **NPI:** 1215670096 (Entity type: Organization)
- **Enumerated:** April 19, 2022
- **Primary specialty:** Hospice Care, Community Based · taxonomy 251G00000X
- **Organization subpart:** No
- **Authorized official:** Tyler Mckibben, CFO/COO
## Practice location
- **Address:** 9001 AIRPORT FWY STE 580, North Richland Hills, TX 76180-7774
- **Phone:** (214) 957-9899
## Record status
- **NPPES last updated:** October 10, 2022
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1215670096) · Data from the CMS NPPES public registry.