Organization Active NPI

JSK Hospice LLC

  • Community Based Hospice Care Agency
  • Bedford, TX
National Provider Identifier
1962191759
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.