Candlelight Hospice Care LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CANDLELIGHT HOSPICE CARE LLC

Practice address

11104 W Airport Blvd Ste 135
Stafford, TX 77477-3040

Phone

(646) 397-0201

Fax

(281) 609-4391

NPI assigned

Apr 27, 2022

Organization subpart

No

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

Authorized official

Name

Omar Bradley

Title

Manager

Phone

(646) 397-0201

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1295479095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11104 W AIRPORT BLVD STE 135",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773040",
            "telephone_number": "646-397-0201",
            "fax_number": "281-609-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 W AIRPORT BLVD STE 135",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773040",
            "telephone_number": "646-397-0201",
            "fax_number": "281-609-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDLELIGHT HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "646-397-0201"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@candlelighthealth.info",
            "affiliation": "N",
            "endpointDescription": "Secure Messaging, Email & Fax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11104 W Airport Blvd Ste 135",
            "city": "Stafford",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774773040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community Based Hospice Care Agency in Stafford, TX
• Providers in Stafford, TX by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.