Organization Active NPI

Advance Hospice Care of America, Inc

  • Community Based Hospice Care Agency
  • Richardson, TX
National Provider Identifier
1215969829
Registry record updated Dec 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
007562 Issued in TX
Legal business name
ADVANCE HOSPICE CARE OF AMERICA, INC
Practice address
1177 Rockingham Dr
Suite 200
Richardson, TX 75080-4372
Phone
(972) 248-8829
Fax
(972) 818-9489
NPI assigned
Jul 6, 2006
Last updated
Dec 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2016

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

Authorized official

Name
Mr. Wing H Chun, RN, MSN
Title
Ceo
Phone
(972) 248-8829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 007562 TX Primary

Addresses

Primary practice location

1177 Rockingham Dr
Suite 200
Richardson, TX 75080-4372

Mailing address

1177 Rockingham Dr
Suite 200
Richardson, TX 75080-4372
Phone (972) 248-8829

Other identifiers 1

IdentifierTypeStateIssuer
001013238MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481673600000",
    "number": "1215969829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 ROCKINGHAM DR",
            "address_2": "SUITE 200",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804372",
            "telephone_number": "972-248-8829",
            "fax_number": "972-818-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 ROCKINGHAM DR",
            "address_2": "SUITE 200",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804372",
            "telephone_number": "972-248-8829",
            "fax_number": "972-818-9489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE HOSPICE CARE OF AMERICA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2016-12-14",
        "status": "A",
        "authorized_official_last_name": "CHUN",
        "authorized_official_first_name": "WING",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-248-8829",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, MSN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "007562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001013238",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2016; 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.