NPIMap

Organization Active NPI

Graham Hospital District Dba Graham Regional Hospice

Doing business as Graham Regional Hospice

  • Community Based Hospice Care Agency
  • Graham, TX
National Provider Identifier
1760418651
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
016109 Issued in TX
Legal business name
GRAHAM HOSPITAL DISTRICT DBA GRAHAM REGIONAL HOSPICE
Doing business as
Graham Regional Hospice
Practice address
523 Elm St
Graham, TX 76450-3037
Phone
(940) 549-9704
Fax
(940) 549-3978
NPI assigned
Jun 23, 2006
Last updated
Apr 28, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
GRAHAM HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Authorized official

Name
Shelly Walls
Title
RN, Director
Phone
(940) 549-9704

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 016109 TX Primary
General Acute Care Hospital 282N00000X NU

Addresses

Primary practice location

523 Elm St
Graham, TX 76450-3037

Mailing address

523 Elm St
Graham, TX 76450-3037
Phone (940) 549-9704

Other identifiers 1

IdentifierTypeStateIssuer
1001013MedicaidTX

Other names 1

  • Graham Regional Hospice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Graham Hospital District Dba Graham Regional Hospice4 organizations share this tax ID, including this one
Part of
Graham Hospital District Dba Graham Regional Hospice

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1760418651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 ELM ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764503037",
            "telephone_number": "940-549-9704",
            "fax_number": "940-549-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 ELM ST",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764503037",
            "telephone_number": "940-549-9704",
            "fax_number": "940-549-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM HOSPITAL DISTRICT DBA GRAHAM REGIONAL HOSPICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRAHAM HOSPITAL DISTRICT",
        "enumeration_date": "2006-06-23",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "RN, DIRECTOR",
        "authorized_official_telephone_number": "940-549-9704"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "016109",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001013",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Graham Regional Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Graham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.