Bluebonnet Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

010319 Issued in TX

Legal business name

BLUEBONNET HOSPICE CARE INC

Practice address

1517 Centre Place Dr
Suite 220
Denton, TX 76205-7273

Phone

(940) 381-0055

Fax

(940) 381-0224

NPI assigned

Dec 4, 2006

Last updated

Sep 17, 2010By 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

George M Fettinger

Title

Administrator Ceo

Phone

(940) 381-0053

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1285792317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 W PIONEER PKWY",
            "address_2": "STE B",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760134528",
            "telephone_number": "817-275-1040",
            "fax_number": "817-274-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 CENTRE PLACE DR",
            "address_2": "SUITE 220",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762057273",
            "telephone_number": "940-381-0055",
            "fax_number": "940-381-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBONNET HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "FETTINGER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR CEO",
        "authorized_official_telephone_number": "940-381-0053"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "010319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001014532",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Denton, TX
• Providers in Denton, 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 Sep 17, 2010; 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.