COMMUNITY HEALTHCARE OF TEXAS NPI 1043214638

NPI Information

NPI: 1043214638
Provider Name: COMMUNITY HEALTHCARE OF TEXAS

Doing Business As: PROVIDENCE HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

Address:
6700 SANGER AVENUE
WACO, TX
ZIP 76710
Phone: (254) 399-9099
Get Directions

COMMUNITY HEALTHCARE OF TEXAS is a hospice care community based in Waco, TX. COMMUNITY HEALTHCARE OF TEXAS NPI is 1043214638. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Hospice.

The provider's business location address is:

6700 SANGER AVENUE
WACO, TX
ZIP 76710
Phone: (254) 399-9099
Fax: (254) 399-8397

The provider's authorized official is Victoria Jingle .
The authorized official title is Ceo and has the following contact phone number (817) 870-2795.

The CLIA number assigned to this NPI record is 45D2146076 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/10/2005 and was last updated on 1/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		007477	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	001019692	MEDICAID	TEXAS
2	000201900	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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