MEDICARE: HARBOR HOSPICE OF WEST DALLAS-FORT WORTH, 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

General Provider Information

NPI Number	:	1861743700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARBOR HOSPICE OF WEST DALLAS-FORT WORTH, LP

Provider Business Mailing Address
First Line	:	3406 COLLEGE ST STE 200
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77701-4612
Country	:	US
Telephone Number	:	409-813-2332
Fax Number	:	409-232-0573

Provider Business Practice Location Address
First Line	:	4255 BRYANT IRVIN RD STE 116B
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-4233
Country	:	US
Telephone Number	:	817-237-2255
Fax Number	:	817-237-2355

Authorized Official
Title or Position	:	EXEC ADMIN ASSISTANT
Name	:	KAREN CARTER
Credential	:
Telephone Number	:	409-730-2046

Provider Enumeration Date	:	10/01/2012
Last Update Date	:	03/02/2026

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