Organization Active NPI

Our Home Hospice LLC

  • Community Based Hospice Care Agency
  • Dallas, TX
National Provider Identifier
1104203173
Registry record updated Apr 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
OUR HOME HOSPICE LLC
Practice address
2665 Villa Creek Dr
Suite 258
Dallas, TX 75234-7309
Phone
(214) 436-3188
NPI assigned
Apr 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2015

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

Authorized official

Name
Ben Gaines
Title
Manager
Phone
(214) 436-3188

Specialties & licenses 1

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

Addresses

Primary practice location

2665 Villa Creek Dr
Suite 258
Dallas, TX 75234-7309

Mailing address

2665 Villa Creek Dr
Suite 258
Dallas, TX 75234-7309
Phone (214) 436-3188

National Provider Directory

National Provider Directory

Locations

2665 Villa Creek Dr
Ste 258
Dallas, TX 75234
Phone (214) 436-3188

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430265600000",
    "number": "1104203173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 VILLA CREEK DR",
            "address_2": "SUITE 258",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347309",
            "telephone_number": "214-436-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 VILLA CREEK DR",
            "address_2": "SUITE 258",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347309",
            "telephone_number": "214-436-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HOME HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-29",
        "last_updated": "2015-04-29",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-436-3188"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2015; 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.