Lenity Light Hospice - Dallas, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LENITY LIGHT HOSPICE - DALLAS, LLC

Practice address

5802 Watauga Rd
Suite 100
Watauga, TX 76148-3069

Phone

(817) 406-1500

Fax

(817) 928-5692

NPI assigned

Jan 18, 2021

Last updated

Oct 17, 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

Mrs. Fatin Qutob

Title

Owner

Phone

(972) 854-3424

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rachel Lichu Cullers, MSN, APRN, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Southlake, TX
  • NPI 1407581895
  NPD (past)
• Rhonda Rusch, APRN,FNP-BC

  • Family Nurse Practitioner
  • Muskogee, OK
  • NPI 1104417286
  NPD (past)

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1114516705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 WENDOVER CT",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823248",
            "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": "817-406-1500",
            "fax_number": "817-928-5692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENITY LIGHT HOSPICE - DALLAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "QUTOB",
        "authorized_official_first_name": "FATIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-854-3424",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Laubacher, BCBA
• Le Mobility, LLC
• Isaac H Le, DDS PA
• Truc Le, DC, ATP
• John Jong Lee, DDS
• Lenity Light Hospice, LLC
• Jonathan Lin
• Leslie Lopez, MS, RD, LD
• Love and Nurture Counseling, PLLC
• My-Trang Thi Luong

• 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 17, 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.