Real Life Healthcare, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

REAL LIFE HEALTHCARE, LLC

Practice address

2688 Calder St
Beaumont, TX 77702-1917

Phone

(409) 832-3311

Fax

(409) 832-3312

NPI assigned

Mar 26, 2010

Organization subpart

No

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

Authorized official

Name

Darran Dollarhide

Title

Owner

Phone

(409) 679-3484

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heart of Texas Hospice - Third Coast, LP Former legal business name

Locations

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1578887097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18568 FORTY SIX PKWY",
            "address_2": "SUITE 3001A",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706879",
            "telephone_number": "830-730-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2688 CALDER ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021917",
            "telephone_number": "409-832-3311",
            "fax_number": "409-832-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL LIFE HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "DOLLARHIDE",
        "authorized_official_first_name": "DARRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-679-3484"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001019124",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart of Texas Hospice - Third Coast, LP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Travis E Read, MSN
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• Megan Rebollar, LVN
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• Community Based Hospice Care Agency in Beaumont, TX
• Providers in Beaumont, 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 Jun 2, 2016; 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.