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NPI Code Detail

MEDICARE: HOSPICE OF THE HEART, INC.

MEDICARE: HOSPICE OF THE HEART, 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
1251G00000XCommunity Based Hospice Care Agency004211TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HH6866OTHERTXBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1588671614
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOSPICE OF THE HEART, INC.
Provider Business Mailing Address
First Line : PO BOX 2081
Second Line :
City : WHITNEY
State : TX
Zip : 76692-5081
Country : US
Telephone Number : 254-694-6009
Fax Number :
Provider Business Practice Location Address
First Line : 218 SOUTH SAN JACINTO
Second Line :
City : WHITNEY
State : TX
Zip : 76692
Country : US
Telephone Number : 254-694-6009
Fax Number :
Authorized Official
Title or Position : ADMINISTATOR
Name : PENNY JOHNSON
Credential :
Telephone Number : 254-694-6009
Provider Enumeration Date : 08/02/2006
Last Update Date : 08/22/2020

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Directions to “HOSPICE OF THE HEART, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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