SGHPC-SA LLC NPI 1386062438

NPI Information

NPI: 1386062438
Provider Name: SGHPC-SA, LLC

Doing Business As: ST. GABRIEL'S HOSPICE AND PALLIATIVE CARE

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

CLIA Number: 45D2088659

Address:
2501 PARKVIEW DR STE 600A
FORT WORTH, TX
ZIP 76102
Phone: (210) 822-2992
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SGHPC-SA, LLC is a hospice care community based in Fort Worth, TX. SGHPC-SA, LLC NPI is 1386062438. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Gabriel's Hospice And Palliative Care.

The provider's business location address is:

2501 PARKVIEW DR STE 600A
FORT WORTH, TX
ZIP 76102-822
Phone: (210) 822-2992

The provider's authorized official is Christopher David Cain .
The authorized official title is Ceo/president and has the following contact phone number (210) 822-2992.

The CLIA number assigned to this NPI record is 45D2088659 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2014 and was last updated on 2/2/2022.

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

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: 4/28/2024

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