MEDICARE: HOSPICE CARE TEAM, INC

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	001694	TX

General Provider Information

NPI Number	:	1386177871
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPICE CARE TEAM, INC

Provider Business Mailing Address
First Line	:	11441 32ND AVE N
Second Line	:	SUITE B
City	:	TEXAS CITY
State	:	TX
Zip	:	77591-2200
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11441 32ND AVE N
Second Line	:	SUITE B
City	:	TEXAS CITY
State	:	TX
Zip	:	77591-2200
Country	:	US
Telephone Number	:	409-938-0070
Fax Number	:

Authorized Official
Title or Position	:	BOARD MEMBER
Name	:	DARRAN DOLLARHIDE
Credential	:
Telephone Number	:	409-679-3484

Provider Enumeration Date	:	04/11/2017
Last Update Date	:	04/11/2017

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Directions to “HOSPICE CARE TEAM, INC ” Practice Location

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