AUTUMN JOURNEY HOSPICE INC. NPI 1235121484

NPI Information

NPI: 1235121484
Provider Name: AUTUMN JOURNEY HOSPICE, INC.

Doing Business As: AUTUMN JOURNEY HOSPICE

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

Address:
5347 SPRING VALLEY RD
DALLAS, TX
ZIP 75254
Phone: (972) 233-0525
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AUTUMN JOURNEY HOSPICE, INC. is a hospice care community based in Dallas, TX. AUTUMN JOURNEY HOSPICE, INC. NPI is 1235121484. The provider is registered as an organization entity type.
The provider Is Doing Business As Autumn Journey Hospice.

The provider's business location address is:

5347 SPRING VALLEY RD
DALLAS, TX
ZIP 75254-009
Phone: (972) 233-0525
Fax: (072) 233-0553

The provider's authorized official is Ronald E. Hollingsworth .
The authorized official title is President and has the following contact phone number (972) 233-0525.

The CLIA number assigned to this NPI record is 45D1044565 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/15/2005 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		009696	TEXAS	Yes

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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