MEDICARE: CARE PLUS PALLIATIVE AND 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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1306351556
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE PLUS PALLIATIVE AND HOSPICE CARE, LLC

Provider Business Mailing Address
First Line	:	7240 CHASE OAKS BLVD
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-5901
Country	:	US
Telephone Number	:	972-517-6300
Fax Number	:	972-517-6310

Provider Business Practice Location Address
First Line	:	6940 RIVER PARK CIR
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76116-0525
Country	:	US
Telephone Number	:	817-782-9557
Fax Number	:	682-224-5436

Authorized Official
Title or Position	:	MANAGER
Name	:	KELLY O MITCHELL
Credential	:
Telephone Number	:	972-517-6300

Provider Enumeration Date	:	12/11/2017
Last Update Date	:	04/26/2021

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