NPIMap

Organization Active NPI

Graham Hospital District

Doing business as Graham Regional Hospice

  • Community Based Hospice Care Agency
  • Graham, TX
National Provider Identifier
1306874334
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
016109 Issued in TX
Legal business name
GRAHAM HOSPITAL DISTRICT
Doing business as
Graham Regional Hospice
Practice address
523 Elm St.
Graham, TX 76450
Phone
(940) 549-9704
Fax
(940) 549-3978
NPI assigned
Jun 29, 2006
Last updated
May 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Authorized official

Name
Shelly K Walls, R.N.
Title
Director
Phone
(940) 549-9704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 016109 TX Primary

Addresses

Primary practice location

523 Elm St.
Graham, TX 76450

Mailing address

523 Elm St
Graham, TX 76450
Phone (940) 549-9704

Other names 1

  • Graham Regional Hospice Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jun 11, 2020 Change of OwnershipThis provider was the seller Angels Care HospiceCCN 451610, TX, NPI 1164044012

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1306874334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 ELM ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "76450",
            "telephone_number": "940-549-9704",
            "fax_number": "940-549-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 ELM ST.",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "76450",
            "telephone_number": "940-549-9704",
            "fax_number": "940-549-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "940-549-9704",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "016109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Graham Regional Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Graham, TX

Sources for this page

Verify at the official NPI Registry.