GRACE HOSPICE OF FORT WORTH LLC (NPI# 1356598510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356598510 |
Entity Type | Organization |
Organization Name | GRACE HOSPICE OF FORT WORTH LLC |
Practice Address |
4100 International Plz Suite 140 Fort Worth TX 76109-4820 |
Practice Telephone | 8177359600 |
Practice Fax Number | 8177354323 |
Mailing Telephone | 8177359600 |
Mailing Fax Number | 8177354323 |
Enumeration Date | 2008-08-19 |
Last Update Date | 2017-06-08 |
Authorized Official Name | MR. KIRK BENTON WIED (CEO) |
Authorized Official Telephone | 8177359600 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251G00000X | Hospice Care, Community Based | Agencies |
Street Address |
4100 INTERNATIONAL PLZ SUITE 140 |
City | FORT WORTH |
State | TX |
Zip Code | 76109-4820 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861497794 | Donald Mitchell | Anesthesiology | 4100 International Plz, Suite 600, Fort Worth, TX 76109-4820 | 2005-06-16 |
1427433846 | Trinity Anesthesia Professionals, Pllc | Anesthesiology | 4100 International Plz, Suite 600, Fort Worth, TX 76109-4820 | 2015-07-27 |
1942698337 | Southwest Fort Worth Anesthesia Consultants, Pa | Nurse Anesthetist, Certified Registered | 4100 International Plz, Suite 600, Fort Worth, TX 76109-4820 | 2015-01-07 |
1043636020 | Hillcrest Anesthesia, Pllc | Anesthesiology | 4100 International Plz, Suite 600, Fort Worth, TX 76109-4820 | 2014-03-13 |
1982047171 | Honorworks Anesthesia Pllc | Anesthesiology | 4100 International Plz, Suite 600, Fort Worth, TX 76109-4820 | 2013-04-08 |
1821367863 | Bruce Ballard | Nurse Anesthetist, Certified Registered | 4100 International Plz, Suite 600, Fort Worth, TX 76109-4820 | 2011-12-20 |
1356480826 | Chase Ryan Kornegay | Anesthesiology | 4100 International Plz, Suite 600, Fort Worth, TX 76109-4820 | 2007-02-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881156164 | Elizabeth Laborde Dds Pllc | Clinic/Center | 5656 Edwards Ranch Rd, Fort Worth, TX 76109 | 2019-04-04 |
1992273965 | Debra Cooper Lantz | Occupational Therapist | 4252 Bryant Irvin Road, Fort Worth, TX 76109 | 2018-11-08 |
1417434119 | Dermatology Specialists of Fort Worth Pllc | Dermatology | 6100 Southwest Blvd., Suite 100, Fort Worth, TX 76109 | 2018-07-25 |
1417446709 | Eating Recovery Center of Texas, LLC | Clinic/Center | 4200 S. Hulen Street, Suite #436, Ft. Worth, TX 76109 | 2018-05-02 |
1245751742 | Marissa Izabel San Miguel | Optometrist | 5912 Convair Dr Ste 208, Fort Worth, TX 76109 | 2017-07-05 |
1174910111 | Parkway Dental Professionals | Preferred Provider Organization | 4200 Bryant Irvin Rd. Ste. 101, Fort Worth, TX 76109 | 2015-04-16 |
1831583095 | Deborah K Lehmann, M.d. | Clinic/Center | 6420 Southwest Blvd., #128, Fort Worth, TX 76109 | 2015-03-26 |
1184036428 | Ft Worth Ranch Assist, LLC | Neurological Surgery | 3516 Ranch View Terrace, Fort Worth, TX 76109 | 2014-05-21 |
1821435538 | Metx LLC | Hearing Instrument Specialist | 4618 Sw Loop 820, Fort Worth, TX 76109 | 2013-06-04 |
1356608087 | Virginia Flores | Social Worker | 4208 Ranier Ct, Fort Worth, TX 76109 | 2012-04-19 |
Find all providers in zip 76109 |
Taxonomy Code | 251G00000X |
Grouping | Agencies |
Classification | Hospice Care, Community Based |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487298345 | Baptist Hospice of Texas LLC | Hospice Care, Community Based | 9716 Barksdale Dr, Fort Worth, TX 76244-6024 | 2019-11-04 |
1538647052 | Cec Health Agency | Hospice Care, Community Based | 7105 Kickapoo Dr, Fort Worth, TX 76179-4710 | 2018-08-06 |
1306351556 | Care Plus Palliative and Hospice Care, LLC | Hospice Care, Community Based | 6940 River Park Cir, Fort Worth, TX 76116-0525 | 2017-12-11 |
1841641354 | Sentayehu Gebremeskel I | Hospice Care, Community Based | 4709 Exposition Way, Fort Worth, TX 76244-6094 | 2016-06-27 |
1922458231 | Dfw Tender Touch Hospice, LLC | Hospice Care, Community Based | 4804 Grapevine Ter, Fort Worth, TX 76123-2920 | 2016-06-16 |
1043673585 | Knights of Comfort Hospice L.L.C. | Hospice Care, Community Based | 10412 Bear Creek Trl, Fort Worth, TX 76244-6515 | 2016-04-01 |
1902294150 | Angel Unaware | Hospice Care, Community Based | 6417 Drury Ln, Fort Worth, TX 76116-4403 | 2014-12-22 |
1255738928 | Hospice Holdings Dfw LLC | Hospice Care, Community Based | 6300 Ridglea Pl Ste 1107, Fort Worth, TX 76116-5737 | 2014-11-24 |
1952722266 | A To Z Palliative and Hospice Care Inc | Hospice Care, Community Based | 4152 Petersburg Dr, Fort Worth, TX 76244-4373 | 2014-01-05 |
1861834764 | Infinity Hospice Inc | Hospice Care, Community Based | 5112 Comstock Cir, Fort Worth, TX 76244-6799 | 2013-07-22 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76109 |
Please comment or provide details below to improve the information on GRACE HOSPICE OF FORT WORTH LLC.
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.