ANGELIC GRACE HOSPICE AND PALLIATIVE CARE LLC NPI 1003365099

NPI Information

NPI: 1003365099
Provider Name: ANGELIC GRACE HOSPICE AND PALLIATIVE CARE LLC

Doing Business As: ALTA HOSPICE

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

Address:
14140 MIDWAY RD STE 104
FARMERS BRANCH, TX
ZIP 75244
Phone: (214) 941-9522
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ANGELIC GRACE HOSPICE AND PALLIATIVE CARE LLC is a hospice care community based in Farmers Branch, TX. ANGELIC GRACE HOSPICE AND PALLIATIVE CARE LLC NPI is 1003365099. The provider is registered as an organization entity type.
The provider Is Doing Business As Alta Hospice.

The provider's business location address is:

14140 MIDWAY RD STE 104
FARMERS BRANCH, TX
ZIP 75244-707
Phone: (214) 941-9522
Fax: (972) 546-4792

The provider's authorized official is Ashton Randle .
The authorized official title is Director Of Clinical Services and has the following contact phone number (214) 546-9522.

The CLIA number assigned to this NPI record is 45D2129031 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2016 and was last updated on 4/7/2023.

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: 4/28/2024

NPI Synchronization or Removal

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