St. Michael's Hospice Corporation

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

008501 Issued in TX

Legal business name

ST. MICHAEL'S HOSPICE CORPORATION

Practice address

4350 Sigma Rd Ste 400
Dallas, TX 75244-4421

Phone

(214) 866-0233

Fax

(214) 866-0232

NPI assigned

May 28, 2006

Last updated

Nov 1, 2008By 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

Mark David Roppolo

Title

Administrator

Phone

(214) 866-0233

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225497600000",
    "number": "1235186818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10214 INWOOD RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752296550",
            "telephone_number": "214-866-0233",
            "fax_number": "214-866-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 SIGMA RD STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752444421",
            "telephone_number": "214-866-0233",
            "fax_number": "214-866-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MICHAEL'S HOSPICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2008-11-01",
        "status": "A",
        "authorized_official_last_name": "ROPPOLO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-866-0233"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "008501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7667499",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "H0HH011C01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D01012042",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia St. Jacques
• St. John Hospice Inc.
• Rachel Dana St. John, MD
• St. Luke Pharmacy Inc. (Uptown Pharmacy)
• St. Michael's Healthcare Services
• St. Nicholas Operations LLC
• St. Paul Erdocs, P.a.
• St. Paul Health Services, Inc
• St. Raphael Health Care Services LLC (Right At Home)
• Lauren St. Tours

• Community Based Hospice Care Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2008; 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.