CGC Hospice, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CGC HOSPICE, INC

Practice address

10935 Estate LN
Suite S 400 a
Dallas, TX 75238-2316

Phone

(469) 730-4882

Fax

(214) 853-4279

NPI assigned

Jul 6, 2016

Organization subpart

No

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

Authorized official

Name

Karen Ann Short, RN

Title

Director of Nurses

Phone

(214) 558-7879

Specialties & licenses 1

Addresses

Other names 1

• Avante Hospice Care Doing business as

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1235581018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10935 ESTATE LN",
            "address_2": "SUITE S 400 A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752382316",
            "telephone_number": "469-730-4882",
            "fax_number": "214-853-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10935 ESTATE LN",
            "address_2": "SUITE S 400 A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752382316",
            "telephone_number": "469-730-4882",
            "fax_number": "214-853-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CGC HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR OF NURSES",
        "authorized_official_telephone_number": "214-558-7879",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avante Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Cervantes, MD
• Victoria Estella Cervantes
• Gregory Cervenka, MD
• Cesar Contreras
• CFS Cardinal Medical Management, LLC
• CH FL Northwest LLC
• CH Ga Central Georgia LLC
• CH Ga Coastal Georgia LLC
• CH Ga Dekalb LLC
• CH Ga Georgia LLC

• 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 Feb 2, 2017; 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.