TENDER HEART HOSPICE CARE LLC NPI 1295793966

NPI Information

NPI: 1295793966
Provider Name: TENDER HEART HOSPICE CARE LLC

Doing Business As: TENDER HEART HOSPICE CARE,LLC

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

Address:
3210 W PARK ROW DR
ARLINGTON, TX
ZIP 76013
Phone: (817) 265-0066
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TENDER HEART HOSPICE CARE LLC is a hospice care community based in Arlington, TX. TENDER HEART HOSPICE CARE LLC NPI is 1295793966. The provider is registered as an organization entity type.
The provider Is Doing Business As Tender Heart Hospice Care,llc.

The provider's business location address is:

3210 W PARK ROW DR
ARLINGTON, TX
ZIP 76013-153
Phone: (817) 265-0066
Fax: (817) 265-0089

The provider's authorized official is Kofo Kay Seriki .
The authorized official title is Administrator and has the following contact phone number (817) 265-0066.

The CLIA number assigned to this NPI record is 45D0925282 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 10/27/2011.

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		009440	TEXAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	001013868	MEDICAID	TEXAS
2	451797	MEDICARE ID-TYPE UNSPECIFIED	TEXAS

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

NPI Synchronization or Removal

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