MEDICARE: VIP HOSPICE, 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	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	:	1114339975
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIP HOSPICE, LLC

Provider Business Mailing Address
First Line	:	5000 LEGACY DR
Second Line	:	SUITE 360
City	:	PLANO
State	:	TX
Zip	:	75024-3100
Country	:	US
Telephone Number	:	972-248-2441
Fax Number	:	972-248-2442

Provider Business Practice Location Address
First Line	:	3500 NORTH ST
Second Line	:	SUITE 1B
City	:	NACOGDOCHES
State	:	TX
Zip	:	75965-2472
Country	:	US
Telephone Number	:	936-559-8555
Fax Number	:	972-248-2442

Authorized Official
Title or Position	:	CEO
Name	:	BRADLEY P. LASSITER
Credential	:
Telephone Number	:	972-248-2441

Provider Enumeration Date	:	05/28/2014
Last Update Date	:	09/29/2016

Similar Medicare Providers

1174824361 — BETHANY HH OF NACOGDOCHES
Practice Location Address:

3500 NORTH ST , SUITE 1B
NACOGDOCHES, TX
75965-2472

Practice Phone: 936-559-8555
Practice Fax: 936-559-8551

1578983292 — GADDY ENTERPRISES, INC
Practice Location Address:

3500 NORTH ST , SUITE #1-A
NACOGDOCHES, TX
75965-2472

Practice Phone: 936-569-8585
Practice Fax: 936-569-8525

1952721664 — AMANDA BUSH
Practice Location Address:

3500 NORTH ST , SUITE #1-A
NACOGDOCHES, TX
75965-2472

Practice Phone: 936-569-8585
Practice Fax: 936-569-8525

1659570356 — DR. KEVIN L TOMSIC MD, DC
Practice Location Address:

627 RUSSELL BLVD
NACOGDOCHES, TX
75965-1247

Practice Phone: 936-205-5965
Practice Fax: 936-205-5967

1194331876 — MRS. BRITTNI COLLEEN HINES FNP-C
Practice Location Address:

607 RUSSELL BLVD # A
NACOGDOCHES, TX
75965-1247

Practice Phone: 936-560-2920
Practice Fax:

1760484968 — CASCADE NACOGDOCHES HEALTH SERVICES, LTD
Practice Location Address:

227 RUSSELL BLVD
NACOGDOCHES, TX
75965-1238

Practice Phone: 936-564-4596
Practice Fax: 936-564-6824

Directions to “VIP HOSPICE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.