TRADITIONS HOSPICE OF LONGVIEW, LLC (NPI# 1316230139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316230139 |
Entity Type | Organization |
Organization Name | TRADITIONS HOSPICE OF LONGVIEW, LLC |
Other Organization Name | TRADITIONS HEALTH |
Practice Address |
4362 N Us Hwy 259 Suite B Longview TX 75605 |
Mailing Address |
Po Box 9980 College Station TX 77842-7980 |
Practice Telephone | 9036632331 |
Practice Fax Number | 9036634831 |
Mailing Telephone | 9036632331 |
Mailing Fax Number | 9036634831 |
Enumeration Date | 2011-05-26 |
Last Update Date | 2019-09-12 |
Authorized Official Name | MR. GARY BRYAN WOLFE (CEO) |
Authorized Official Telephone | 9797046547 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251G00000X | Hospice Care, Community Based | TX | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | TEXAS DEPT. OF AGING AND DISABILITY SERVICES- LICENSE | 017972 | 01 |
Other Name | Type Code |
---|---|
Traditions Health | Doing Business As Name - Organization |
Traditions Hospice | Doing Business As Name - Organization |
Street Address |
4362 N US HWY 259 SUITE B |
City | LONGVIEW |
State | TX |
Zip Code | 75605 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194264812 | Traditions Health Care of Longview, LLC | Home Health | 4362 N Us Hwy 259, Suite A, Longview, TX 75605 | 2017-02-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194353730 | Dusty Rae Hane | Nurse Practitioner | Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 | 2020-03-30 |
1831720374 | Kaycee Whatley | Nurse Practitioner | 323 W Hawkins Parkway, Longview, TX 75605 | 2020-02-03 |
1245733492 | Somers Pediatrics | Pediatrics | 103 W. Loop 281, Suite 474, Longview, TX 75605 | 2018-03-14 |
1467838391 | Piney Woods Er II LLC | Clinic/Center | 120 East Loop 281, Longview, TX 75605 | 2015-08-03 |
1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
1215353651 | Tracy Hicks | Nurse Practitioner | 102 Commander Dr Ste 9, Longview, TX 75605 | 2014-03-10 |
1073881280 | Deirdre Scotter | Specialist/Technologist | 201 E Tomlinson Pkwy, Longview, TX 75605 | 2011-12-02 |
1184916769 | Telema Dikibujiri Nga | Pediatrics | Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 | 2011-05-13 |
1902101108 | The Veta Lewis Behavioral Health Group | Counselor | 1800 S. Judson St., Suite 100, Longview, TX 75605 | 2011-01-19 |
1598094989 | Rene Vest | Physical Therapist | 365 Honeysuckle Ln, Longview, TX 75605 | 2009-12-14 |
Find all providers in zip 75605 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992351076 | Stebbins Hospice LLC | Hospice Care, Community Based | 600-602 E. Whaley, Longview, TX 75601 | 2019-08-14 |
1306334297 | Calmness Healthcare Hospice Inc | Hospice Care, Community Based | 707 Hollybrook Dr Ste 404, Longview, TX 75605-2410 | 2018-04-25 |
1194222570 | Sns House of Care, Inc. | Hospice Care, Community Based | 3549 Gilmer Rd Ste I, Longview, TX 75604 | 2018-04-11 |
1609902410 | G. Mcbride Inc | Hospice Care, Community Based | 5106 Gilmer Road, Longview, TX 75604 | 2007-02-26 |
1700947066 | Hospice Longview, Inc. | Hospice Care, Community Based | 1306 Pine Tree Rd, Longview, TX 75604-2345 | 2006-12-12 |
1932147915 | Southerncare, Inc. | Hospice Care, Community Based | 911 West Loop 281, Suite 101, Longview, TX 75604-2948 | 2006-06-03 |
1811940844 | East Texas Careteam Inc. | Hospice Care, Community Based | 4362 N Us Highway 259, Longview, TX 75605-7674 | 2006-05-19 |
1467001628 | Prime Care Hospice LLC | Hospice Care, Community Based | 707 Hollybrook Dr Ste 404, Longview, TX 75605-2410 | 2019-09-10 |
1124418223 | Ahm Action Home Health, Lp | Hospice Care, Community Based | 5016 Gilmer Rd, Longview, TX 75604-9666 | 2015-01-27 |
1356693493 | Faith Palliative Care Management, Inc. | Hospice Care, Community Based | 4362 Us Highway 259 N, Suite B, Longview, TX 75605-7674 | 2012-10-14 |
Find all providers in LONGVIEW |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.