FMC - DEEP EAST TEXAS LLC NPI 1083662852

NPI Information

NPI: 1083662852
Provider Name: FMC - DEEP EAST TEXAS LLC

Doing Business As: EMBRACING HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
317 W CHURCH ST
SUITE 112
LIVINGSTON, TX
ZIP 77351
Phone: (936) 327-9991
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FMC - DEEP EAST TEXAS LLC is a hospice care community based in Livingston, TX. FMC - DEEP EAST TEXAS LLC NPI is 1083662852. The provider is registered as an organization entity type.
The provider Is Doing Business As Embracing Hospice.

The provider's business location address is:

317 W CHURCH ST
SUITE 112
LIVINGSTON, TX
ZIP 77351-201
Phone: (936) 327-9991
Fax: (936) 327-9995

The provider's authorized official is Rich Fogle .
The authorized official title is Cfo and has the following contact phone number (904) 493-6748.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 5/17/2012.

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		010406	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	010406	OTHER	TEXAS	STATE LICENSE
2	671541	MEDICARE OSCAR/CERTIFICATION	TEXAS
3	001014561	MEDICAID	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: 11/14/2023

NPI Synchronization or Removal

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