BLUE HAVEN HOSPICE LLC NPI 1609287895

NPI Information

NPI: 1609287895
Provider Name: BLUE HAVEN HOSPICE, LLC

Doing Business As: RELIANT AT HOME

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

CLIA Number: 45D2084168

Address:
3033 W PRESIDENT GEORGE BUSH HWY STE 150
PLANO, TX
ZIP 75075
Phone: (972) 390-7733
Get Directions

BLUE HAVEN HOSPICE, LLC is a hospice care community based in Plano, TX. BLUE HAVEN HOSPICE, LLC NPI is 1609287895. The provider is registered as an organization entity type.
The provider Is Doing Business As Reliant At Home.

The provider's business location address is:

3033 W PRESIDENT GEORGE BUSH HWY STE 150
PLANO, TX
ZIP 75075-752
Phone: (972) 390-7733
Fax: (972) 390-7738

The provider's authorized official is Casey Allen Wilson .
The authorized official title is Vp Of Operations and has the following contact phone number (936) 856-6888.

The CLIA number assigned to this NPI record is 45D2084168 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/10/2014 and was last updated on 5/24/2021.

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »