MEDICARE: COMMUNITY HEALTHCARE OF TEXAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency	007477	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043214638
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY HEALTHCARE OF TEXAS

Provider Business Mailing Address
First Line	:	6100 WESTERN PLACE
Second Line	:	SUITE 105
City	:	FORT WORTH
State	:	TX
Zip	:	76107
Country	:	US
Telephone Number	:	817-870-2795
Fax Number	:	817-878-3717

Provider Business Practice Location Address
First Line	:	6700 SANGER AVENUE
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76710
Country	:	US
Telephone Number	:	254-399-9099
Fax Number	:	254-399-8397

Authorized Official
Title or Position	:	CEO
Name	:	MS. VICTORIA JINGLE
Credential	:
Telephone Number	:	817-870-2795

Provider Enumeration Date	:	06/10/2005
Last Update Date	:	01/03/2023

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Directions to “COMMUNITY HEALTHCARE OF TEXAS ” Practice Location

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