Organization Active NPI

Heart of Texas Hospice - Third Coast, LP

Doing business as Heart of Texas Hospice

  • Community Based Hospice Care Agency
  • Beaumont, TX
National Provider Identifier
1821446139
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HEART OF TEXAS HOSPICE - THIRD COAST, LP
Doing business as
Heart of Texas Hospice
Practice address
2688 Calder St
Beaumont, TX 77702-1917
Phone
(409) 832-3311
NPI assigned
May 26, 2016
Last updated
May 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Darran B Dollarhide
Title
Cao
Phone
(409) 679-3484

Specialties & licenses 1

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

Addresses

Primary practice location

2688 Calder St
Beaumont, TX 77702-1917

Mailing address

18568 Forty Six Pkwy
Suite 3001a
Spring Branch, TX 78070-6879
Phone (830) 730-7711

Other identifiers 1

IdentifierTypeStateIssuer
001019124MedicaidTX

Other names 1

  • Heart of Texas Hospice Doing business as

Medicare participation

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

National Provider Directory

National Provider Directory

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Mar 31, 2018 Change of OwnershipThis provider was the seller Hospice Care TeamCCN 671656, TX, NPI 1932696572

Change of ownership 1

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

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1821446139",
    "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF TEXAS HOSPICE - THIRD COAST, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "DOLLARHIDE",
        "authorized_official_first_name": "DARRAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "409-679-3484"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001019124",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart of Texas Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.