1881061745 NPI number — TOUCH OF COMPASSION HOSPICE,LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881061745 NPI number — TOUCH OF COMPASSION HOSPICE,LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOUCH OF COMPASSION HOSPICE,LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881061745
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/02/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
615 W MAIN ST
Provider Second Line Business Mailing Address:
SUITE 314
Provider Business Mailing Address City Name:
ARLINGTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76010-1056
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
817-200-7740
Provider Business Mailing Address Fax Number:
817-768-3980

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
615 W MAIN ST
Provider Second Line Business Practice Location Address:
SUITE 314
Provider Business Practice Location Address City Name:
ARLINGTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76010-1056
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
817-200-7740
Provider Business Practice Location Address Fax Number:
817-768-3980
Provider Enumeration Date:
08/26/2015

Additional Information

Authorized Official

Authorized Official Last Name:
BENJAMIN
Authorized Official First Name:
KYLA
Authorized Official Middle Name:
AMECIA
Authorized Official Title or Position:
CO-OWNER/ADMINISTRATOR
Authorized Official Telephone Number:
469-289-8563

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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