Tricare Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

TRICARE HOSPICE, LLC

Practice address

25673 Highway 105 W
Cleveland, TX 77328-2973

Phone

(281) 358-8000

Fax

(281) 358-7999

NPI assigned

Aug 23, 2010

Organization subpart

No

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

Authorized official

Name

Brandi Trahan

Title

Administrator

Phone

(281) 358-8000

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520380800000",
    "number": "1073829479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25673 HIGHWAY 105 W",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773282973",
            "telephone_number": "281-358-8000",
            "fax_number": "281-358-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25673 HIGHWAY 105 W",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "773282973",
            "telephone_number": "281-358-8000",
            "fax_number": "281-358-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICARE HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2018-03-07",
        "status": "A",
        "authorized_official_last_name": "TRAHAN",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-358-8000"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010225833",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Landon Community
• Angela Hoffart Tompkins, PHARMD
• Wilda Jojeske Torrez, RN, BSN, CNOR, RNFA
• Tri-County Behavioral Healthcare
• Tri-County Behavioral Healthcare
• Trinity Clevland Dental PLLC
• Tristar Consolidated Inc
• David Tudor, COTA
• Antoine Tyree, PT., OTR/L
• Soren Victor Uhrenholdt, DDS

• Community Based Hospice Care Agency in Cleveland, TX
• Providers in Cleveland, 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 Mar 7, 2018; 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.