KING VISION OF FORT WORTH LLC NPI 1902423783

NPI Information

NPI: 1902423783
Provider Name: KING VISION OF FORT WORTH LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 45D2218130

Address:
5863 FOXGLOVE LN
DALLAS, TX
ZIP 75249
Phone: (214) 476-2448
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KING VISION OF FORT WORTH LLC is a hospice care community based in Dallas, TX. KING VISION OF FORT WORTH LLC NPI is 1902423783. The provider is registered as an organization entity type.

The provider's business location address is:

5863 FOXGLOVE LN
DALLAS, TX
ZIP 75249-625
Phone: (214) 476-2448

The provider's authorized official is Ronald Woodard .
The authorized official title is Manager and has the following contact phone number (214) 476-2448.

The CLIA number assigned to this NPI record is 45D2218130 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2020 and was last updated on 3/31/2021.

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

NPI Synchronization or Removal

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