Active NPI
JSK Hospice LLC
- Community Based Hospice Care Agency
- Bedford, TX
National Provider Identifier
1962191759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- JSK HOSPICE LLC
- Practice address
- 1600 Airport Fwy Ste 501
Bedford, TX 76022-6882 - Phone
- (972) 402-9300
- NPI assigned
- May 5, 2023
- Last updated
- May 5, 2023
- 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
- Ms. Shelby Davenport
- Title
- Administrator
- Phone
- (817) 999-6784
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
1600 Airport Fwy Ste 501
Bedford, TX 76022-6882
Mailing address
1600 Airport Fwy Ste 503
Bedford, TX 76022-6882
National Provider Directory
National Provider DirectoryLocations
1600 Airport Fwy
Ste 501
Bedford, TX 76022
Phone (972) 402-9300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683244800000",
"number": "1962191759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 AIRPORT FWY STE 503",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760226882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 AIRPORT FWY STE 501",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760226882",
"telephone_number": "972-402-9300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JSK HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-05",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A",
"authorized_official_last_name": "DAVENPORT",
"authorized_official_first_name": "SHELBY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "817-999-6784",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.