Active NPI
Advance Hospice Care of America, Inc
- Community Based Hospice Care Agency
- Richardson, TX
National Provider Identifier
1215969829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 007562
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001013238 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI 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.