AG HOSPICE LLC NPI 1891947040

NPI Information

NPI: 1891947040
Provider Name: AG HOSPICE, LLC

Doing Business As: AMAZING GRACE HOSPICE

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

Address:
5502 4TH ST
KATY, TX
ZIP 77493
Phone: (832) 437-2089
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AG HOSPICE, LLC is a hospice care community based in Katy, TX. AG HOSPICE, LLC NPI is 1891947040. The provider is registered as an organization entity type.
The provider Is Doing Business As Amazing Grace Hospice.

The provider's business location address is:

5502 4TH ST
KATY, TX
ZIP 77493-427
Phone: (832) 437-2089
Fax: (832) 437-2090

The provider's authorized official is Andrea Bohannon .
The authorized official title is President & Ceo and has the following contact phone number (214) 628-9950.

The CLIA number assigned to this NPI record is 45D1094122 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/21/2008 and was last updated on 1/29/2021.

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		12501	TEXAS	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: 11/14/2023

NPI Synchronization or Removal

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