Active NPI
A Pineywoods Hospice, Inc.
- Community Based Hospice Care Agency
- Lufkin, TX
National Provider Identifier
1003921727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 009142
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001012822 | Medicaid | TX | |
| 451769 | Other | TX | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
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
- A American Homecare and Community Services,LLC
- A Compassionate Care Hospice, LLC
- A Pineywoods Home Health Care, Inc. (A Pineywoods Home Medical Equipment, Inc.)
- A Pineywoods Home Health Care, Inc.
- A Pineywoods Home Services
- Aaron K Calodney M.D., P.a.
- Deana Gelan Abdel-Reheim, MD
- Riam Hassan Abdulwahab
- Abeldt GP, LLC (Abeldt's Gaslight Pharmacy)
- Abeldt GP, LLC (Abeldt's Gaslight Pharmacy)
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.