MEDICARE: H&PC OF AMERICA, 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

General Provider Information

NPI Number	:	1194918904
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H&PC OF AMERICA, LLC

Provider Business Mailing Address
First Line	:	517 COUNCIL DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76126-4331
Country	:	US
Telephone Number	:	817-886-3748
Fax Number	:	817-886-6899

Provider Business Practice Location Address
First Line	:	517 COUNCIL DR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76126-4331
Country	:	US
Telephone Number	:	817-886-3748
Fax Number	:	817-886-6899

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	GARY BENNETT MERCHANT
Credential	:	M.A.
Telephone Number	:	817-886-3748

Provider Enumeration Date	:	08/24/2007
Last Update Date	:	08/24/2007

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