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NPI Code Detail

MEDICARE: FAIRMONT HOSPICE LLC

MEDICARE: FAIRMONT 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
1253Z00000XIn Home Supportive Care AgencyTX
2251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1437597150
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAIRMONT HOSPICE LLC
Provider Business Mailing Address
First Line : 300 JACKSON ST
Second Line :
City : RICHMOND
State : TX
Zip : 77469-3109
Country : US
Telephone Number : 888-846-7742
Fax Number : 888-251-8801
Provider Business Practice Location Address
First Line : 300 JACKSON ST
Second Line :
City : RICHMOND
State : TX
Zip : 77469-3109
Country : US
Telephone Number : 888-846-7742
Fax Number : 888-251-8801
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. NIDHU KURUP
Credential : R.N.
Telephone Number : 832-434-2670
Provider Enumeration Date : 06/05/2013
Last Update Date : 08/14/2020

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Directions to “FAIRMONT HOSPICE LLC ” Practice Location

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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.

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