Organization Active NPI

A Pineywoods Hospice, Inc.

  • Community Based Hospice Care Agency
  • Lufkin, TX
National Provider Identifier
1003921727
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
009142 Issued in TX
Legal business name
A PINEYWOODS HOSPICE, INC.
Practice address
103 Carriage Dr
Suite B
Lufkin, TX 75904-0880
Phone
(936) 634-1617
Fax
(936) 634-7967
NPI assigned
Aug 21, 2006
Last updated
Jun 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Mary Ann Naranjo, CPA
Title
Owner/Director of Finance
Phone
(936) 634-1617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 009142 TX Primary

Addresses

Primary practice location

103 Carriage Dr
Suite B
Lufkin, TX 75904-0880

Mailing address

PO Box 1743
Lufkin, TX 75902-1743
Phone (936) 634-1617

Other identifiers 2

IdentifierTypeStateIssuer
001012822MedicaidTX
451769OtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

103A Carriage Dr
Ste A
Lufkin, TX 75904
Phone 9366346991130

103 Carriage Dr
Ste B
Lufkin, TX 75904
Phone (936) 634-1617

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1003921727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1743",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759021743",
            "telephone_number": "936-634-1617",
            "fax_number": "936-634-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CARRIAGE DR",
            "address_2": "SUITE B",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759040880",
            "telephone_number": "936-634-1617",
            "fax_number": "936-634-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A PINEYWOODS HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "NARANJO",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "936-634-1617",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "009142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001012822",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "451769",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.