LIGHTHOUSE HOSPICE-COASTAL BEND LLC NPI 1649321928

NPI Information

NPI: 1649321928
Provider Name: LIGHTHOUSE HOSPICE-COASTAL BEND, LLC

Doing Business As: GENTIVA

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

Address:
210 S CARANCAHUA ST STE 200
CORPUS CHRISTI, TX
ZIP 78401
Phone: (361) 992-2700
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LIGHTHOUSE HOSPICE-COASTAL BEND, LLC is a hospice care community based in Corpus Christi, TX. LIGHTHOUSE HOSPICE-COASTAL BEND, LLC NPI is 1649321928. The provider is registered as an organization entity type.
The provider Is Doing Business As Gentiva.

The provider's business location address is:

210 S CARANCAHUA ST STE 200
CORPUS CHRISTI, TX
ZIP 78401-040
Phone: (361) 992-2700
Fax: (361) 883-1906

The provider's authorized official is Janet Combs .
The authorized official title is Vp Of Licensure and has the following contact phone number (704) 664-2876.

The CLIA number assigned to this NPI record is 45D2165269 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/15/2007 and was last updated on 10/11/2023.

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		011168	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	001015384	MEDICAID	TEXAS

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

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