TRADITIONS HOSPICE OF ENNIS, LLC (NPI# 1386626588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386626588 |
| Entity Type | Organization |
| Organization Name | TRADITIONS HOSPICE OF ENNIS, LLC |
| Other Organization Name | TRADITIONS HEALTH |
| Practice Address |
109 Southwest Main Street, Suite B Ennis TX 75119 |
| Mailing Address |
Po Box 9980 College Station TX 77842 |
| Practice Telephone | 9728782273 |
| Practice Fax Number | 9728782278 |
| Mailing Telephone | 9728782273 |
| Mailing Fax Number | 9728782278 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2019-09-12 |
| Authorized Official Name | MR. GARY BRYAN WOLFE (CEO) |
| Authorized Official Telephone | 9794076547 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 008468 | TX | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 001004817 | 05 |
| Other Name | Type Code |
|---|---|
| Traditions Health | Doing Business As Name - Organization |
| Traditions Hospice | Doing Business As Name - Organization |
| Street Address |
109 SOUTHWEST MAIN STREET, SUITE B |
| City | ENNIS |
| State | TX |
| Zip Code | 75119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121859 | Alexandria Etuk | Pharmacist | 101 Sh-437 Spur, Ennis, TX 75119 | 2020-10-14 |
| 1285279158 | Oluchi Ozumba Md Pa | Pain Medicine | 601 S Cly St, Suite 104, Ennis, TX 75119 | 2019-11-14 |
| 1952806085 | Ikids Pediatric Dentistry Ennis, Pllc | Dentist | 711 S Clay St Ste A, Ennis, TX 75119 | 2018-03-29 |
| 1609382068 | Living Single LLC | Residential Treatment Facility, Physical Disabilities | 809 E. Denton Street, Ennis, TX 75119 | 2017-12-21 |
| 1912363300 | Erin Denise Jackson | Counselor | 219 W. Brown St, Suite A, Ennis, TX 75119 | 2016-01-14 |
| 1164769139 | Matthew Garrett Cooper | Nurse Anesthetist, Certified Registered | 2201 W. Lampasas Street, Ennis, TX 75119 | 2013-01-11 |
| 1922343805 | Braces R Us PC | Dentist | 1012 E. Ennis Ave. Ste. C, Ennis, TX 75119 | 2012-12-04 |
| 1154684355 | Stefanie Nicole Rust | Emergency Medicine | 2201 West Lampasas Street, Ennis, TX 75119 | 2012-06-21 |
| 1265710909 | Traditions Health Care of Ennis, LLC | Home Health | 109 Southwest Main Street, Suite A, Ennis, TX 75119 | 2011-07-29 |
| 1578792370 | Peak Physical Therapy and Rehabilitation LLC | Physical Therapist | 2200 Physicians Blvd, Ste D, Ennis, TX 75119 | 2009-07-14 |
| Find all providers in zip 75119 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800529 | Remarkable Ltc Partners of Brazos Valley Lp | Hospice Care, Community Based | 1645 Greens Prairie Rd W Ste 401b-2, College Station, TX 77845-8404 | 2020-10-31 |
| 1942800651 | Ld5 LLC | Hospice Care, Community Based | 6913 N 40th St, Mcallen, TX 78504-5400 | 2020-10-30 |
| 1649870791 | Unique Hospice Care Inc | Hospice Care, Community Based | 1012 Hidden Creek Dr, Allen, TX 75002-2797 | 2020-10-28 |
| 1164022505 | Cypress Hospice & Palliative Care LLC | Hospice Care, Community Based | 14405 Walters Rd Ste 614, Houston, TX 77014-1562 | 2020-10-26 |
| 1700485752 | Texas Hospice Services, LLC | Hospice Care, Community Based | 2665 Villa Creek Dr Ste 202, Dallas, TX 75234-7333 | 2020-10-21 |
| 1295334365 | Cmsp Hospice Care Inc | Hospice Care, Community Based | 2100 N Hwy 360 Ste 1105b, Grand Prairie, TX 75050-1011 | 2020-10-20 |
| 1215535711 | Hope Healthcare System International LLC | Hospice Care, Community Based | 14601 Bellaire Blvd # 151, Houston, TX 77083-2505 | 2020-10-15 |
| 1912505140 | Dfw Plus Hospice Care LLC | Hospice Care, Community Based | 6704 Vista Trl, Plano, TX 75024-7447 | 2020-10-09 |
| 1912514696 | Rainbow Hospice LLC | Hospice Care, Community Based | 11119 Cranstonhill Ct, Richmond, TX 77407-1712 | 2020-09-28 |
| 1205443702 | Avitacare Hospice LLC | Hospice Care, Community Based | 301 N King St Ste 101, Alice, TX 78332-4761 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TRADITIONS HOSPICE OF ENNIS, 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.