LEGEND HOSPICE INC. NPI 1164724993

NPI Information

NPI: 1164724993
Provider Name: LEGEND HOSPICE INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 45D2018273

Address:
4200 S HULEN ST STE 304
FORT WORTH, TX
ZIP 76109
Phone: (214) 324-4565
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LEGEND HOSPICE INC. is a hospice care community based in Fort Worth, TX. LEGEND HOSPICE INC. NPI is 1164724993. The provider is registered as an organization entity type.

The provider's business location address is:

4200 S HULEN ST STE 304
FORT WORTH, TX
ZIP 76109-911
Phone: (214) 324-4565
Fax: (214) 919-4510

The provider's authorized official is George Thomas .
The authorized official title is Ceo and has the following contact phone number (214) 324-4565.

The CLIA number assigned to this NPI record is 45D2018273 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2010 and was last updated on 1/10/2024.

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	251E00000X	Home Health				No
2	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: 5/5/2024

NPI Synchronization or Removal

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