Lenity Light Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LENITY LIGHT HOSPICE, LLC

Practice address

5802 Watauga Rd
Suite 100
Watauga, TX 76148-3069

Phone

(469) 757-1600

Fax

(469) 519-0202

NPI assigned

Nov 5, 2020

Last updated

Oct 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Fatin Qutob

Title

Ceo

Phone

(469) 757-1600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1013518067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5802 WATAUGA RD",
            "address_2": "SUITE 100",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761483069",
            "telephone_number": "469-757-1600",
            "fax_number": "469-519-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 WATAUGA RD",
            "address_2": "SUITE 100",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761483069",
            "telephone_number": "469-757-1600",
            "fax_number": "469-519-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENITY LIGHT HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "QUTOB",
        "authorized_official_first_name": "FATIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "469-757-1600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Watauga, TX
• Providers in Watauga, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.