MEDICARE: FALCON SOUTH PLAINS HOSPICE, LP

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	014809	OTHER	TX	STATE OPERATOR LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	45D2185345	OTHER		CLIA

General Provider Information

NPI Number	:	1144525700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FALCON SOUTH PLAINS HOSPICE, LP

Provider Business Mailing Address
First Line	:	101 W RENNER RD STE 420
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75082-2022
Country	:	US
Telephone Number	:	214-550-3306
Fax Number	:	806-771-3813

Provider Business Practice Location Address
First Line	:	6801 SANGER AVE STE 260
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76710-7803
Country	:	US
Telephone Number	:	254-741-6570
Fax Number	:	254-751-9390

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	JOHN BRANDON DURBIN
Credential	:
Telephone Number	:	469-361-0120

Provider Enumeration Date	:	01/12/2011
Last Update Date	:	04/06/2026

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