VIP HOSPICE LLC NPI 1114339975

NPI Information

NPI: 1114339975
Provider Name: VIP HOSPICE, LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Doing Business As: BETHANY HOSPICE OF EAST TEXAS
Address: 3500 NORTH ST
SUITE 1B
NACOGDOCHES, TX
ZIP 75965
Phone: (936) 559-8555

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NPI Details

VIP HOSPICE, LLC is a hospice care community based in Nacogdoches, TX. VIP HOSPICE, LLC NPI is 1114339975. The provider is registered as an organization entity type.
The provider Is Doing Business As Bethany Hospice Of East Texas.

The provider's business location address is:

3500 NORTH ST
SUITE 1B
NACOGDOCHES, TX
ZIP 75965-472
Phone: (936) 559-8555
Fax: (972) 248-2442

The provider's authorized official is Bradley P. Lassiter .
The authorized official title is Ceo and has the following contact phone number (972) 248-2441.

The enumeration date for this NPI number is 5/28/2014 and was last updated on 9/29/2016.

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

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	3584336-01	MEDICAID	TEXAS
2	741570	MEDICARE OSCAR/CERTIFICATION

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: 11/21/2025

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