Active NPI
Great Trinity Hospice LLC
- Community Based Hospice Care Agency
- Carrollton, TX
National Provider Identifier
1679212799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- GREAT TRINITY HOSPICE LLC
- Practice address
- 2410 Luna Rd Ste 258
Carrollton, TX 75006-6538 - Phone
- (214) 794-2646
- Fax
- (214) 390-7994
- NPI assigned
- May 27, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Bijili Varanath
- Title
- Administrator
- Phone
- (214) 794-2646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
2410 Luna Rd Ste 258
Carrollton, TX 75006-6538
Mailing address
2410 Luna Rd Ste 258
Carrollton, TX 75006-6538
Phone (214) 794-2646
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2267459 | Great Trinity Hospice, LLC | Certificate of waiver | Aug 24, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Plano, TX
- NPI 1477588069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653609600000",
"number": "1679212799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 LUNA RD STE 258",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750066538",
"telephone_number": "214-794-2646",
"fax_number": "214-390-7994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 LUNA RD STE 258",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750066538",
"telephone_number": "214-794-2646",
"fax_number": "214-390-7994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREAT TRINITY HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-27",
"last_updated": "2022-05-27",
"certification_date": "2022-05-27",
"status": "A",
"authorized_official_last_name": "VARANATH",
"authorized_official_first_name": "BIJILI",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "214-794-2646",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.