Healthcare Provider Details

I. General information

NPI: 1497031959
Provider Name (Legal Business Name): HUNT COUNTY HOSPICE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2011
Last Update Date: 07/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8162 FM 512
WOLFE CITY TX
75496-2488
US

IV. Provider business mailing address

975 STONECREST RD
ARGYLE TX
76226-6732
US

V. Phone/Fax

Practice location:
  • Phone: 940-230-8359
  • Fax:
Mailing address:
  • Phone: 940-230-8359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. RICHARD NEWTON CALDWELL JR.
Title or Position: CEO
Credential:
Phone: 940-230-8359