Bluebonnet Hospice of East Texas, Inc.

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

010273 Issued in TX

Legal business name

BLUEBONNET HOSPICE OF EAST TEXAS, INC.

Practice address

7524 S Broadway Ave Ste 113
Tyler, TX 75703-5000

Phone

(903) 561-7751

NPI assigned

Apr 16, 2007

Last updated

Aug 22, 2020By 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 Fettinger

Title

Ceo Cfo

Phone

(817) 275-1040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437374493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 W PIONEER PKWY",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760134504",
            "telephone_number": "817-275-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7524 S BROADWAY AVE STE 113",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757035000",
            "telephone_number": "903-561-7751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBONNET HOSPICE OF EAST TEXAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FETTINGER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO CFO",
        "authorized_official_telephone_number": "817-275-1040"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "TX",
            "license": "010273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Mike Bloodsworth, DDS
• Bloom Lactation of Tyler, LLC
• Joann Kay Blosser, RN
• Blu Dental Group PC
• Blue Star Research (Carter Blood Care)
• Alma Bluesummers, LCDC
• Bo Keeling, PLLC
• Boa Psychiatry PLLC
• Constance Boateng, RPH
• Courtney Michele Boaz

• Home Health Aide in Tyler, TX
• Providers in Tyler, TX by specialty
• Home Health Aide in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.