LIFEWAY HOSPICE, LLC (NPI# 1932593936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932593936 |
| Entity Type | Organization |
| Organization Name | LIFEWAY HOSPICE, LLC |
| Other Organization Name | LIFEWAY HOSPICE |
| Practice Address |
4040 State Highway 121 Suite 140 Carrollton TX 75010 |
| Practice Telephone | 9728072670 |
| Practice Fax Number | 9727670010 |
| Mailing Telephone | 9728072670 |
| Mailing Fax Number | 9727670010 |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2018-01-05 |
| Authorized Official Name | BRANNON WILTSE (ADMINISTRATOR) |
| Authorized Official Telephone | 9728072670 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Other Name | Type Code |
|---|---|
| Lifeway Hospice | Doing Business As Name - Organization |
| Street Address |
4040 STATE HIGHWAY 121 SUITE 140 |
| City | CARROLLTON |
| State | TX |
| Zip Code | 75010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
| 1184106411 | Cindy T Vu | Occupational Therapy Assistant | 1877 Cheyenne, Carrollton, TX 75010 | 2018-09-04 |
| 1639686256 | Little Lantern Hospice LLC | Hospice Care, Community Based | 4541 North Josey Lane, Suite 110-b, Carrollton, TX 75010 | 2018-01-04 |
| 1235681610 | Kahini Shah | Physical Therapist | 1012 W Hebron Pkwy Ste 124, Carrollton, TX 75010 | 2016-11-01 |
| 1881148849 | Wais Azesh | Dentist | 1233 Apache Lake Dr, Carrollton, TX 75010 | 2016-08-08 |
| 1225485055 | Julia Buckelew | Physical Therapist | 4100 Fairway Dr Ste 400, Carrollton, TX 75010 | 2016-05-23 |
| 1811355639 | Fastpass Ucc, Pllc | Clinic/Center | 4228 N Josey Ln Ste 150, Carrollton, TX 75010 | 2016-02-08 |
| 1326404393 | Miaojuan Li | Nurse Practitioner | 4100 Fairway Dr Ste 300, Carrollton, TX 75010 | 2016-01-06 |
| 1912376112 | Envoy Hospice North LLC | Hospice Care, Community Based | 4040 Tx-121, Carrollton, TX 75010 | 2015-09-17 |
| 1720480064 | Krisshonda Elaine Odufuwa | Specialist/Technologist | 4230 Fairway Dr Apt 4101, Carrollton, TX 75010 | 2014-09-18 |
| Find all providers in zip 75010 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535895 | Carenow Hospice LLC | Hospice Care, Community Based | 3620 N Josey Ln Ste 220b, Carrollton, TX 75007-3157 | 2020-07-17 |
| 1235798802 | Star Healthcare of Texas Inc | Hospice Care, Community Based | 2840 Keller Springs Rd Ste 601, Carrollton, TX 75006-4873 | 2019-06-07 |
| 1184185076 | First Texas Hospice LLC | Hospice Care, Community Based | 2410 Luna Rd Ste 254, Carrollton, TX 75006-6538 | 2019-03-25 |
| 1619454162 | Wellcare Hospice LLC | Hospice Care, Community Based | 2410 Luna Rd Ste 286, Carrollton, TX 75006-6538 | 2018-07-26 |
| 1639686256 | Little Lantern Hospice LLC | Hospice Care, Community Based | 4541 North Josey Lane, Suite 110-b, Carrollton, TX 75010 | 2018-01-04 |
| 1518489319 | Texas Best Care Hospice, Inc | Hospice Care, Community Based | 1933 Frankford Rd., Suite 160 Room 1, Carrollton, TX 75007-5629 | 2017-07-13 |
| 1912376112 | Envoy Hospice North LLC | Hospice Care, Community Based | 4040 Tx-121, Carrollton, TX 75010 | 2015-09-17 |
| 1346618162 | New Crescent Hospice, LLC | Hospice Care, Community Based | 1406 Halsey Way Ste 110-d, Carrollton, TX 75007-6447 | 2015-09-10 |
| 1780052985 | Double A Hospice Care Inc | Hospice Care, Community Based | 3712 Old Denton Rd, Ste 120, Carrollton, TX 75007 | 2015-09-04 |
| 1184004814 | Intrepid Holdings Inc | Hospice Care, Community Based | 3207 Skylane Dr, Suite 110, Carrollton, TX 75006-2559 | 2015-06-08 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 75010 |
Please comment or provide details below to improve the information on LIFEWAY HOSPICE, 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.