MEDICARE: HARBOR HOSPICE OF DALLAS, L.P.

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871842047
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARBOR HOSPICE OF DALLAS, L.P.

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	:	409-232-0371

Provider Business Practice Location Address
First Line	:	3900 JUNIUS ST STE 150
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75246-1662
Country	:	US
Telephone Number	:	469-329-3321
Fax Number	:	972-692-6752

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

Provider Enumeration Date	:	09/04/2012
Last Update Date	:	01/07/2026

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