NPI Code Details Logo

NPI 1609861939

NPI 1609861939 : THC HOSPICE CARE ACQUISITION, LLC : COLLEGE STATION, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1609861939
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    THC HOSPICE CARE ACQUISITION, LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/13/2005
-----------------------------------------------------
    Last Update Date     |    11/19/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1103 ROCK PRAIRIE RD STE 2051B 
-----------------------------------------------------
    City                 |    COLLEGE STATION
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77845-8344
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    979-822-5511
-----------------------------------------------------
    Fax                  |    979-822-3709
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6840 CAROTHERS PKWY STE 550 
-----------------------------------------------------
    City                 |    FRANKLIN
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37067-8002
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    979-704-6547
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT & CEO
-----------------------------------------------------
    Name                 |     BRAIN  LANTIER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    979-704-6547
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251G00000X
-----------------------------------------------------
    Taxonomy Name        |    Community Based Hospice Care Agency
-----------------------------------------------------
    License Number       |    014287
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.