MEDICARE: HIGHLAND HOSPICE CARE LLC

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	251J00000X	Nursing Care Agency
2	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1073270492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGHLAND HOSPICE CARE LLC

Provider Business Mailing Address
First Line	:	4010 HIGHLAND VALE CT
Second Line	:
City	:	FRESNO
State	:	TX
Zip	:	77545-7023
Country	:	US
Telephone Number	:	832-689-7010
Fax Number	:

Provider Business Practice Location Address
First Line	:	4010 HIGHLAND VALE CT
Second Line	:
City	:	FRESNO
State	:	TX
Zip	:	77545-7023
Country	:	US
Telephone Number	:	832-689-7010
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	SHERRIA BELL
Credential	:
Telephone Number	:	713-234-7735

Provider Enumeration Date	:	11/19/2021
Last Update Date	:	01/05/2024

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