Bluebonnet Hospice of East Texas Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

010273 Issued in TX

Legal business name

BLUEBONNET HOSPICE OF EAST TEXAS INC

Practice address

211 N Newsom St
Suite B
Mineola, TX 75773-2133

Phone

(903) 763-2058

NPI assigned

Feb 1, 2007

Last updated

Jun 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

George Fettinger

Title

Administrator

Phone

(817) 275-1040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1922146182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 W PIONEER PKWY STE B",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760134517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N NEWSOM ST",
            "address_2": "SUITE B",
            "city": "MINEOLA",
            "state": "TX",
            "postal_code": "757732133",
            "telephone_number": "903-763-2058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBONNET HOSPICE OF EAST TEXAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "FETTINGER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-275-1040"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "TX",
            "license": "010273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Mineola, TX
• Providers in Mineola, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; 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.