FALCON SOUTH PLAINS HOSPICE LP NPI 1902004500

NPI Information

NPI: 1902004500
Provider Name: FALCON SOUTH PLAINS HOSPICE LP

Doing Business As: INTERIM HOSPICE OF WEST TEXAS

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

Address:
3305 101ST ST STE 200
LUBBOCK, TX
ZIP 79423
Phone: (806) 791-0043
Get Directions

FALCON SOUTH PLAINS HOSPICE LP is a hospice care community based in Lubbock, TX. FALCON SOUTH PLAINS HOSPICE LP NPI is 1902004500. The provider is registered as an organization entity type.
The provider Is Doing Business As Interim Hospice Of West Texas.

The provider's business location address is:

3305 101ST ST STE 200
LUBBOCK, TX
ZIP 79423-076
Phone: (806) 791-0043
Fax: (806) 687-5958

The provider's authorized official is Jim Bullard .
The authorized official title is President and has the following contact phone number (806) 771-0995.

The CLIA number assigned to this NPI record is 45D2185350 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/5/2007 and was last updated on 5/5/2021.

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		010522	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	001015234	MEDICAID	TEXAS
2	010522	OTHER	TEXAS	STATE OPERATOR LICENSE

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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