Graceful Heart Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

GRACEFUL HEART HOSPICE LLC

Practice address

4402 Broadway Blvd Ste 14F
Garland, TX 75043-8263

Phone

(214) 394-6821

Fax

(214) 593-3235

NPI assigned

Feb 16, 2021

Organization subpart

No

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

Authorized official

Name

Shibu Samuel

Title

Ceo/Administrator

Phone

(214) 394-6821

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1467045997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3671 BROADWAY BLVD",
            "address_2": "STE 500-B3",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75043",
            "telephone_number": "214-394-6821",
            "fax_number": "214-593-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 BROADWAY BLVD STE 14F",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750438263",
            "telephone_number": "214-394-6821",
            "fax_number": "214-593-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACEFUL HEART HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "SHIBU",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "214-394-6821"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Garland, TX
• Providers in Garland, 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 Dec 23, 2024; 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.