MEDICARE: HOSPICE HOLDINGS DFW 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	016699	TX

General Provider Information

NPI Number	:	1255738928
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPICE HOLDINGS DFW LLC

Provider Business Mailing Address
First Line	:	3854 AMERICAN WAY STE A
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-4897
Country	:	US
Telephone Number	:	225-292-2031
Fax Number	:	225-295-9678

Provider Business Practice Location Address
First Line	:	6300 RIDGLEA PL STE 810
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-5734
Country	:	US
Telephone Number	:	817-570-7190
Fax Number	:	732-384-2311

Authorized Official
Title or Position	:	PRESIDENT AND CEO
Name	:	JOSHUA L. PROFFITT
Credential	:
Telephone Number	:	385-470-8162

Provider Enumeration Date	:	11/24/2014
Last Update Date	:	03/17/2026

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