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ANGEL HEART HOSPICE LLC NPI 1013901719


NPI Information

NPI: 1013901719
Provider Name: ANGEL HEART HOSPICE, LLC

Doing Business As: NEW CENTURY HOSPICE OF AUSTIN

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 45D1106839

Address:
9430 RESEARCH BLVD
BLDG. II, #100
AUSTIN, TX
ZIP 78759
Phone: (512) 342-8288
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ANGEL HEART HOSPICE, LLC is a hospice care community based in Austin, TX. ANGEL HEART HOSPICE, LLC NPI is 1013901719. The provider is registered as an organization entity type.
The provider Is Doing Business As New Century Hospice Of Austin.

The provider's business location address is:

9430 RESEARCH BLVD
BLDG. II, #100
AUSTIN, TX
ZIP 78759-586
Phone: (512) 342-8288
Fax: (512) 342-8122

The provider's authorized official is Janet Combs .
The authorized official title is Vp Licensure and has the following contact phone number (704) 664-2876.

The CLIA number assigned to this NPI record is 45D1106839 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2005 and was last updated on 10/11/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10010299121MEDICAIDTEXAS
2001013622MEDICAIDTEXAS
3001029921MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.