KMS HEALTH INC NPI 1952505240

NPI Information

NPI: 1952505240
Provider Name: KMS HEALTH INC

Doing Business As: BRISTOL HOSPICE - DALLAS

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

Address:
16901 DALLAS PKWY STE 114
ADDISON, TX
ZIP 75001
Phone: (214) 221-9216
Get Directions

KMS HEALTH INC is a hospice care community based in Addison, TX. KMS HEALTH INC NPI is 1952505240. The provider is registered as an organization entity type.
The provider Is Doing Business As Bristol Hospice - Dallas.

The provider's business location address is:

16901 DALLAS PKWY STE 114
ADDISON, TX
ZIP 75001-218
Phone: (214) 221-9216
Fax: (214) 221-9262

The provider's authorized official is Alex E Mauricio .
The authorized official title is President and has the following contact phone number (801) 325-0175.

The CLIA number assigned to this NPI record is 45D1073369 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/12/2007 and was last updated on 9/7/2023.

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				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	1032070	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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