LEGACY OF LOVE HOSPICE INC. NPI 1134157209

NPI Information

NPI: 1134157209
Provider Name: LEGACY OF LOVE HOSPICE, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 45D1043062

Address:
4409 71ST ST
LUBBOCK, TX
ZIP 79424
Phone: (806) 370-2100
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LEGACY OF LOVE HOSPICE, INC. is a hospice care community based in Lubbock, TX. LEGACY OF LOVE HOSPICE, INC. NPI is 1134157209. The provider is registered as an organization entity type.

The provider's business location address is:

4409 71ST ST
LUBBOCK, TX
ZIP 79424-327
Phone: (806) 370-2100
Fax: (806) 370-2100

The provider's authorized official is Amanda Campbell .
The authorized official title is Administrator and has the following contact phone number (806) 370-2100.

The CLIA number assigned to this NPI record is 45D1043062 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2006 and was last updated on 7/16/2020.

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		671515	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	1014028	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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