Organization Active NPI

Prestonwood Hospice LLC

  • Community Based Hospice Care Agency
  • Dallas, TX
National Provider Identifier
1295331270
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PRESTONWOOD HOSPICE LLC
Practice address
16910 Dallas Pkwy Ste 210
Dallas, TX 75248-1934
Phone
(972) 930-7999
NPI assigned
Dec 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Authorized official

Name
Mrs. Josephine Devadoss
Title
Administrator
Phone
(214) 735-6622

Specialties & licenses 1

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

Addresses

Primary practice location

16910 Dallas Pkwy Ste 210
Dallas, TX 75248-1934

Mailing address

16910 Dallas Pkwy Ste 210
Dallas, TX 75248-1934

Other names 1

  • Prestonwood Hospice LLC Other name

National Provider Directory

National Provider Directory

Locations

16910 Dallas Pkwy
Ste 210
Dallas, TX 75248
Phone (972) 930-7999

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1295331270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16910 DALLAS PKWY STE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16910 DALLAS PKWY STE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481934",
            "telephone_number": "972-930-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTONWOOD HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "DEVADOSS",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-735-6622",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prestonwood Hospice LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 7, 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.