NPIMap

Organization Active NPI

Indigo Texas, LLC

  • Community Based Hospice Care Agency
  • Prosper, TX
National Provider Identifier
1225790025
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
INDIGO TEXAS, LLC
Practice address
2601 Cedarbrook LN
Prosper, TX 75078-8972
Phone
(469) 714-2570
NPI assigned
Oct 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Kellie Ann Gibson, RN
Title
Owner
Phone
(469) 714-2570

Specialties & licenses 1

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

Addresses

Primary practice location

2601 Cedarbrook LN
Prosper, TX 75078-8972

Mailing address

2601 Cedarbrook LN
Prosper, TX 75078-8972
Phone (469) 714-2570

Other names 1

  • 1.5 annually Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kgibson@palomahealthservices.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
15 Annually2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1225790025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 CEDARBROOK LN",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788972",
            "telephone_number": "469-714-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 CEDARBROOK LN",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788972",
            "telephone_number": "469-714-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO TEXAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-08",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-714-2570",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kgibson@palomahealthservices.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2601 Cedarbrook Ln",
            "city": "Prosper",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750788972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "1.5 annually",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.