Organization Active NPI

Hospice of Lubbock Inc

  • Community Based Hospice Care Agency
  • Lubbock, TX
National Provider Identifier
1700875903
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
001878 Issued in TX
Legal business name
HOSPICE OF LUBBOCK INC
Practice address
3702 21St St
Lubbock, TX 79410-1229
Phone
(806) 795-2751
Fax
(806) 795-8464
NPI assigned
Oct 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Authorized official

Name
Donald W Anderson Jr.
Title
Assistant Secretary of Enrollments
Phone
(425) 358-9786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 001878 TX Primary

Addresses

Primary practice location

3702 21St St
Lubbock, TX 79410-1229

Mailing address

3702 21St St
Lubbock, TX 79410-1299
Phone (806) 795-2751

Other identifiers 1

IdentifierTypeStateIssuer
000200900MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

3702 21st St
Lubbock, TX 79410
Phone (806) 795-2751

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Feb 27, 2025 Change of OwnershipThis provider was the seller Covenant Health at Home With Compassus, Hospice of LubbockCCN 451519, TX, NPI 1821810847

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1700875903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 21ST ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101299",
            "telephone_number": "806-795-2751",
            "fax_number": "806-795-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3702 21ST ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101229",
            "telephone_number": "806-795-2751",
            "fax_number": "806-795-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPICE OF LUBBOCK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY OF ENROLLMENTS",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "001878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000200900",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.