Organization Active NPI

Autumn Journey Hospice, Inc.

Doing business as Autumn Journey Hospice

  • Community Based Hospice Care Agency
  • Dallas, TX
National Provider Identifier
1235121484
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
009696 Issued in TX
Legal business name
AUTUMN JOURNEY HOSPICE, INC.
Doing business as
Autumn Journey Hospice
Practice address
5347 Spring Valley Rd
Dallas, TX 75254-3009
Phone
(972) 233-0525
Fax
(072) 233-0553
NPI assigned
Aug 15, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Ronald E. Hollingsworth
Title
President
Phone
(972) 233-0525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 009696 TX Primary

Addresses

Primary practice location

5347 Spring Valley Rd
Dallas, TX 75254-3009

Mailing address

5347 Spring Valley Rd
Dallas, TX 75254-3009
Phone (972) 233-0525

Other names 1

  • Autumn Journey Hospice Doing business as

National Provider Directory

National Provider Directory

Locations

13747 Montfort Dr
Ste 107
Dallas, TX 75240
Phone (472) 233-0525

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235121484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5347 SPRING VALLEY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752543009",
            "telephone_number": "972-233-0525",
            "fax_number": "072-233-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5347 SPRING VALLEY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752543009",
            "telephone_number": "972-233-0525",
            "fax_number": "072-233-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN JOURNEY HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSWORTH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-233-0525",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "009696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Autumn Journey Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • 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.