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RESOLUTIONS HOSPICE - AUSTIN LLC NPI 1417162504


NPI Information

NPI: 1417162504
Provider Name: RESOLUTIONS HOSPICE - AUSTIN LLC

Doing Business As: RESOLUTIONS HOSPICE

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

CLIA Number: 45D2179322

Address:
11825 BUCKNER ROAD
AUSTIN, TX
ZIP 78726
Phone: (512) 343-5555
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RESOLUTIONS HOSPICE - AUSTIN LLC is a hospice care community based in Austin, TX. RESOLUTIONS HOSPICE - AUSTIN LLC NPI is 1417162504. The provider is registered as an organization entity type.
The provider Is Doing Business As Resolutions Hospice.

The provider's business location address is:

11825 BUCKNER ROAD
AUSTIN, TX
ZIP 78726-716
Phone: (512) 343-5555
Fax: (512) 628-3447

The provider's authorized official is Joi Bodine .
The authorized official title is President/ceo and has the following contact phone number (281) 384-4207.

The CLIA number assigned to this NPI record is 45D2179322 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2007 and was last updated on 1/8/2019.


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 Based011453TEXASYes
2251G00000XHospice Care, Community BasedNo

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
1001018041MEDICAIDTEXAS

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

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