Brentwood Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

010526 Issued in TX

Legal business name

BRENTWOOD HOSPICE, LLC

Doing business as

Magnolia Hospice

Practice address

1250 E Copeland Rd Ste 260
Arlington, TX 76011-1345

Phone

(214) 275-6200

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Cynthia A Calloway, RN

Title

VP Operations

Phone

(903) 681-7406

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Magnolia Hospice Doing business as

Locations

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1548359144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E WHALEY ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016525",
            "telephone_number": "903-230-7670",
            "fax_number": "903-230-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E COPELAND RD STE 260",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760111345",
            "telephone_number": "214-275-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "CALLOWAY",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "903-681-7406",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "010526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001015314",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Jesstine Brehms, LMFT-A
• Morris D Brem Jr.
• Kelly Brennan
• Caroline Brenner
• Anthony Brentlinger, M.D.
• Eric J Bressler, M.A
• Gary Lee Brettmann, DC
• Amos Darron Brewer
• Brian Bui Inc
• Brian J Caplan M.D., P.a.

• Community Based Hospice Care Agency in Arlington, TX
• Providers in Arlington, 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 Jan 3, 2019; 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.