ALPHA-OMEGA HOSPICE CARE - NPI NUMBER 1972776821

Summary

Provider Name: ALPHA-OMEGA HOSPICE CARE

NPI Number: 1972776821

Clasification: Hospice Care, Community Based (251G00000X)

Address:
3014 S SHILOH RD
SUITE D
GARLAND, TX
ZIP 75041

Phone Number: (972) 278-8585



Detailed Information

ALPHA-OMEGA HOSPICE CARE is a community based hospice care in Garland, TX. The assigned NPI number for this provider is 1972776821 and is registered as an organization entity type.

The provider's business address is:

3014 S SHILOH RD
SUITE D
GARLAND, TX
ZIP 75041-415
Phone: (972) 278-8585
Fax: (214) 227-4356

The provider's authorized official is Renji John .
The authorized official title is Owner and has the following contact phone number (972) 278-8585.

The enumeration date for this NPI number is 4/10/2008 and was last updated on 4/10/2008.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1134461544 ACCESS HOSPICE
Hospice Care, Community Based
1346683943 PEACEWAY HOSPICE LLC
Hospice Care, Community Based
1427449248 CORNERSTONE HOSPICE CARE, LLC
Hospice Care, Community Based





Taxonomy Codes

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 N/A TX Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1972776821 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name ALPHA-OMEGA HOSPICE CARE The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider First Line Business Practice Location Address 3014 S SHILOH RD The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
6 Provider Second Line Business Practice Location Address SUITE D The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
7 Provider Business Practice Location Address City Name GARLAND The city name in the location address of the provider being identified.
8 Provider Business Practice Location Address State Name TX The State code in the location of the provider being identified.
9 Provider Business Practice Location Address Postal Code 750412415 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
10 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
11 Provider Business Practice Location Address Telephone Number 9722788585 The telephone number associated with the location address of the provider being identified.
12 Provider Business Practice Location Address Fax Number 2142274356 The fax number associated with the location address of the provider being identified.
13 Provider Enumeration Date 4/10/2008 The date the provider was assigned a unique identifier (assigned an NPI).
14 Last Update Date 4/10/2008 The date that a record was last updated or changed.
15 Authorized Official Last Name JOHN The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
16 Authorized Official First Name RENJI The first name of the authorized official.
17 Authorized Official Title or Position OWNER The title or position of the authorized official.
18 Authorized Official Telephone Number 9722788585 The 10-position telephone number of the authorized official.
19 Healthcare Provider Taxonomy Code 1 251G00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
20 Provider License Number 1 N/A The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
21 Provider License Number State Code 1 TX The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Is Organization Subpart N

Download Record

Download this NPI record in Text format: Export

Download this NPI record in Excel (CSV) format: Export

Download this NPI record in XML format: Export




This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.