Faith Palliative Care Management, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

FAITH PALLIATIVE CARE MANAGEMENT, INC.

Doing business as

Faith Hospice

Practice address

4362 US Highway 259 N
Suite B
Longview, TX 75605-7674

Phone

(903) 663-5300

Fax

(903) 663-5302

NPI assigned

Oct 14, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Jeanette Solis, RN, BSN

Title

Administrator

Phone

(903) 663-5300

Specialties & licenses 1

Addresses

Other names 1

• Faith Hospice Doing business as

Locations

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

{
    "created_epoch": "1350172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350172800000",
    "number": "1356693493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4362 US HIGHWAY 259 N",
            "address_2": "SUITE B",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756057674",
            "telephone_number": "903-663-5300",
            "fax_number": "903-663-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4362 US HIGHWAY 259 N",
            "address_2": "SUITE B",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756057674",
            "telephone_number": "903-663-5300",
            "fax_number": "903-663-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH PALLIATIVE CARE MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-14",
        "last_updated": "2012-10-14",
        "status": "A",
        "authorized_official_last_name": "SOLIS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "JEANETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-663-5300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Longview, TX
• Providers in Longview, 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 Oct 14, 2012; 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.