HEART TO HEART HOSPICE OF THE GULF COAST LLC NPI 1356690028

NPI Information

NPI: 1356690028
Provider Name: HEART TO HEART HOSPICE OF THE GULF COAST LLC

Doing Business As: HEART TO HEART HOSPICE OF THE GULF COAST

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

Address:
550 FANNIN ST
SUITE 1200
BEAUMONT, TX
ZIP 77701
Phone: (979) 480-0303
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HEART TO HEART HOSPICE OF THE GULF COAST LLC is a hospice care community based in Beaumont, TX. HEART TO HEART HOSPICE OF THE GULF COAST LLC NPI is 1356690028. The provider is registered as an organization entity type.
The provider Is Doing Business As Heart To Heart Hospice Of The Gulf Coast.

The provider's business location address is:

550 FANNIN ST
SUITE 1200
BEAUMONT, TX
ZIP 77701-100
Phone: (979) 480-0303
Fax: (979) 480-0307

The provider's authorized official is Kelly Mitchell .
The authorized official title is Manager and has the following contact phone number (972) 517-6300.

The CLIA number assigned to this NPI record is 45D1064877 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/10/2012 and was last updated on 8/11/2015.

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			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	001020869	MEDICAID	TEXAS
2	671577	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: 5/5/2024

NPI Synchronization or Removal

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