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GOOD SHEPHERD HOSPICE OF HOUSTON LLC NPI 1407122062


NPI Information

NPI: 1407122062
Provider Name: GOOD SHEPHERD HOSPICE OF HOUSTON LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 45D1006578

Address:
14511 FALLING CREEK DR
HOUSTON, TX
ZIP 77014
Phone: (405) 943-0903
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GOOD SHEPHERD HOSPICE OF HOUSTON LLC is a hospice care community based in Houston, TX. GOOD SHEPHERD HOSPICE OF HOUSTON LLC NPI is 1407122062. The provider is registered as an organization entity type.

The provider's business location address is:

14511 FALLING CREEK DR
HOUSTON, TX
ZIP 77014-244
Phone: (405) 943-0903
Fax: (405) 943-0950

The provider's authorized official is Jason Delester .
The authorized official title is Manager and has the following contact phone number (405) 943-0903.

The CLIA number assigned to this NPI record is 45D1006578 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2012 and was last updated on 8/18/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251G00000XHospice Care, Community BasedYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11026013MEDICAIDTEXAS

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

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