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INTEGRACARE OF WEST TEXAS-HOSPICE LLC NPI 1063643054


NPI Information

NPI: 1063643054
Provider Name: INTEGRACARE OF WEST TEXAS-HOSPICE, LLC

Doing Business As: GENTIVA

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

CLIA Number: 45D2160216

Address:
3232 HOBBS RD STE A
AMARILLO, TX
ZIP 79109
Phone: (806) 372-7696
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INTEGRACARE OF WEST TEXAS-HOSPICE, LLC is a hospice care community based in Amarillo, TX. INTEGRACARE OF WEST TEXAS-HOSPICE, LLC NPI is 1063643054. The provider is registered as an organization entity type.
The provider Is Doing Business As Gentiva.

The provider's business location address is:

3232 HOBBS RD STE A
AMARILLO, TX
ZIP 79109-224
Phone: (806) 372-7696
Fax: (806) 372-2825

The provider's authorized official is Janet Combs .
The authorized official title is Vp Of Licensure and has the following contact phone number (704) 664-2876.

The CLIA number assigned to this NPI record is 45D2160216 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/7/2009 and was last updated on 10/11/2023.


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
1251G00000XHospice Care, Community Based012961TEXASYes

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

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