Provider Type Icon

WKRP HOUSTON LLC NPI 1770739369


NPI Information

NPI: 1770739369
Provider Name: WKRP HOUSTON LLC

Doing Business As: AUTUMN CARE HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
7058 LAKEVIEW HAVEN DRIVE
SUITE 120
HOUSTON, TX
ZIP 77095
Phone: (281) 530-7829
Get Directions

WKRP HOUSTON LLC is a hospice care community based in Houston, TX. WKRP HOUSTON LLC NPI is 1770739369. The provider is registered as an organization entity type.
The provider Is Doing Business As Autumn Care Hospice.

The provider's business location address is:

7058 LAKEVIEW HAVEN DRIVE
SUITE 120
HOUSTON, TX
ZIP 77095
Phone: (281) 530-7829
Fax: (281) 598-2897

The provider's authorized official is Roland James Radcliffe .
The authorized official title is Administrator and has the following contact phone number (281) 530-7829.

The enumeration date for this NPI number is 8/14/2008 and was last updated on 4/24/2014.


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 BasedTEXASNo
2251G00000XHospice Care, Community Based012218TEXASNo
3251G00000XHospice Care, Community Based16111TEXASYes

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
1001019519MEDICAIDTEXAS
267-1617MEDICARE PINTEXAS
367-167MEDICARE PINTEXAS

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

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.