TWIN OAKS HOSPICE LLC

HOUSTON, TXCCN: A91672
YELLOW

Overall

16.2

Quality

Compliance

Operational

Market

65.0

Contact Information

Address

315 W ALABAMA ST STE 200

HOUSTON, TX 77006

Website

No website on file

Administrator

AMBREEN AMIR, PRESIDENT

Provider Details

CountyHarris
Ownership Type
ADC
ADC Fitunknown
Service Area (ZIPs)18
Market TypeSuburban
CertifiedDec 6, 2023
County Demographics
65+ Population565,314
% 65+12.0%
Median Income$70,789

Ownership Profile

Complexitysimple
Owner Count2
PE/Investment BackedNo
Chain AffiliatedNo
Recent Ownership ChangeYes

Classification Reasons

Positive: Simple ownership structure
Concern: ADC data unavailable

Outreach Status

Readiness

Monitor - Complete diligence first

Deal Type

Unknown - ADC required

Sell-Side Hypothesis

Recent ownership change may indicate transition period or strategic repositioning

Rating Sensitivity

Upgrade Triggers

CON state expansion opportunity

Downgrade Triggers

CMS enforcement action

Owner Carry-Back Analysis

67/100
MEDIUM
Independent Ownership+30

Not backed by private equity - more likely to consider creative financing

Standalone Operation+20

Not part of larger chain - owner has full decision authority

Small Ownership Group+12

Small partnership - consensus easier to reach

Large Operation+3

Large ADC typically attracts PE/strategic buyers

Recent Change+2

Recent ownership change - may indicate PE flip or distressed situation

Potential Owner Carry-Back Opportunity

This provider has some favorable characteristics for owner financing, but may require additional due diligence. Consider exploring the ownership situation further before proposing seller financing terms.

Data Quality & Completeness

Completeness Score

55%

Data Quality

LOW

Confidence

Medium (0.50)

Missing Fields

financialsADCquality_stars
Data Source: CMS Provider Data Catalog Nov 2025, PECOS Q1 2026 • Analysis Date: Jan 26, 2026