MEDICARE: TRADITIONS HOSPICE OF BEDFORD, 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	:	1548698210
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRADITIONS HOSPICE OF BEDFORD, LLC

Provider Business Mailing Address
First Line	:	150 4TH AVE N STE 2300
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37219-2466
Country	:	US
Telephone Number	:	979-704-6547
Fax Number	:	866-908-8704

Provider Business Practice Location Address
First Line	:	4100 INTERNATIONAL PLZ STE 420
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76109-4824
Country	:	US
Telephone Number	:	817-358-4777
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	DAVID R KLEMENTZ
Credential	:
Telephone Number	:	979-704-6547

Provider Enumeration Date	:	10/16/2013
Last Update Date	:	09/22/2023

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