Active NPI
Hospice Care of Texas, LLP
- Community Based Hospice Care Agency
- Charlottesville, VA
National Provider Identifier
1770021479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HOSPICE CARE OF TEXAS, LLP
- Practice address
- 500 Faulconer Dr
Suite 200
Charlottesville, VA 22903-4972 - Phone
- (434) 977-9711
- NPI assigned
- Feb 2, 2017
- 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
- Jesse R Moore
- Title
- Chief Administrative Officer
- Phone
- (857) 331-6271
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
500 Faulconer Dr
Suite 200
Charlottesville, VA 22903-4972
Mailing address
1234 Chestnut St Ste 114
Newton, MA 02464-1491
Phone (434) 977-9711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001014155 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- Dierksen Hospice
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Texarkana, TX
- NPI 1366587545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485993600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738108800000",
"number": "1770021479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 CHESTNUT ST STE 114",
"city": "NEWTON",
"state": "MA",
"postal_code": "024641491",
"telephone_number": "434-977-9711",
"fax_number": "434-235-4142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 FAULCONER DR",
"address_2": "SUITE 200",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229034972",
"telephone_number": "434-977-9711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPICE CARE OF TEXAS, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-02",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "JESSE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "857-331-6271"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001014155",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.