Greater Hospice of Texas, Inc.

Primary specialty

Hospice Registered NurseTaxonomy code 163WH1000X

License

006610 Issued in TX

Legal business name

GREATER HOSPICE OF TEXAS, INC.

Practice address

1905 W Loop 281
Ste. 81
Longview, TX 75604-2572

Phone

(903) 753-3494

Fax

(903) 753-0988

NPI assigned

Sep 15, 2005

Organization subpart

No

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

Authorized official

Name

Tommy Craig Travis

Title

Cfo

Phone

(903) 753-3494

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134114010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9725",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756089725",
            "telephone_number": "903-753-3494",
            "fax_number": "903-753-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W LOOP 281",
            "address_2": "STE. 81",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756042572",
            "telephone_number": "903-753-3494",
            "fax_number": "903-753-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER HOSPICE OF TEXAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "903-753-3494"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Hospice",
            "state": "TX",
            "license": "006610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Dawn Graves, FNP-C
• Bailey Deann Gray
• Miranda Lynn Gray, MSN, APRN, FNP-C
• Mitchell G Grayson, LCDC
• Monica J Grayson, LCDC
• Evelyn L Green, FNP
• Haley Green, M.A. CCC-SLP
• Juanita Bell Green
• Kelly Robert Green, M.S.
• Tricia G. Green, APN

• Hospice Registered Nurse in Longview, TX
• Providers in Longview, TX by specialty
• Hospice Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.