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ETHICUS HOSPITAL DFW LLC NPI 1659536944


NPI Information

NPI: 1659536944
Provider Name: ETHICUS HOSPITAL DFW LLC

Doing Business As: SAGECREST HOSPITAL GRAPEVINE

Classification: Long Term Care Hospital - 282E00000X
Entity Type: Organization
Address:
4201 WILLIAM D TATE AVE
GRAPEVINE, TX
ZIP 76051
Phone: (817) 288-1300
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ETHICUS HOSPITAL DFW LLC is a long term care hospital in Grapevine, TX. The provider is long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. ETHICUS HOSPITAL DFW LLC NPI is 1659536944. The provider is registered as an organization entity type.
The provider Is Doing Business As Sagecrest Hospital Grapevine.

The provider's business location address is:

4201 WILLIAM D TATE AVE
GRAPEVINE, TX
ZIP 76051-736
Phone: (817) 288-1300
Fax: (817) 288-1499

The provider's authorized official is Jordan Fowler .
The authorized official title is Ceo and has the following contact phone number (817) 288-1300.

The enumeration date for this NPI number is 7/25/2008 and was last updated on 10/22/2019.


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
1282E00000XLong Term Care Hospital008742TEXASYes

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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