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ENLIGHTENED HEIGHTS HOSPICE LL C NPI 1174050462


NPI Information

NPI: 1174050462
Provider Name: ENLIGHTENED HEIGHTS HOSPICE LL C

Doing Business As: BRIDGE HOSPICE

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

CLIA Number: 45D2136363

Address:
3409 19TH ST
LUBBOCK, TX
ZIP 79410
Phone: (806) 993-3900
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ENLIGHTENED HEIGHTS HOSPICE LL C is a hospice care community based in Lubbock, TX. ENLIGHTENED HEIGHTS HOSPICE LL C NPI is 1174050462. The provider is registered as an organization entity type.
The provider Is Doing Business As Bridge Hospice.

The provider's business location address is:

3409 19TH ST
LUBBOCK, TX
ZIP 79410-201
Phone: (806) 993-3900
Fax: (806) 993-3899

The provider's authorized official is Tammie Ware .
The authorized official title is Owner and has the following contact phone number (806) 993-3899.

The CLIA number assigned to this NPI record is 45D2136363 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2017 and was last updated on 7/21/2021.


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

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: 11/14/2023

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