Hospice Specialist of Texas LLC

Key facts

NPI

1003312356

Entity type

Organization (NPI type 2)

Primary specialty

Community Based Hospice Care Agency 251G00000X

Legal business name

HOSPICE SPECIALIST OF TEXAS LLC

Practice address

202 Fisherman TRL
Melissa, TX 75454-2146

Phone

(469) 667-4787

NPI assigned

Apr 4, 2018

Organization subpart

No

Authorized official

Name

Sherry Lynn Martin, REGISTERED NURSE

Title

Administrator

Phone

(469) 667-4787

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 4, 2018.

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1003312356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 FISHERMAN TRL",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754542146",
            "telephone_number": "469-667-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 FISHERMAN TRL",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "754542146",
            "telephone_number": "469-667-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE SPECIALIST OF TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "469-667-4787",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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