Avitacare Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AVITACARE HOSPICE LLC

Practice address

301 N King St Ste 101
Alice, TX 78332-4761

Phone

(361) 245-8803

Fax

(361) 245-8832

NPI assigned

Sep 28, 2020

Last updated

Oct 4, 2020By 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

Mr. Jaime Rene Chapa, RN

Title

Alternate Administrator

Phone

(361) 658-4428

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601769600000",
    "number": "1205443702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N KING ST STE 101",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324761",
            "telephone_number": "361-245-8803",
            "fax_number": "361-245-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N KING ST STE 101",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324761",
            "telephone_number": "361-245-8803",
            "fax_number": "361-245-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVITACARE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-28",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A",
        "authorized_official_last_name": "CHAPA",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "ALTERNATE ADMINISTRATOR",
        "authorized_official_telephone_number": "361-658-4428",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.