National Provider Identifier Database

FIDELITY ENTRUST HEALTHCARE SERVICES LLC
Hospice Care, Community Based


Contact Information

FIDELITY ENTRUST HEALTHCARE SERVICES LLC
4723 SMOKEY QUARTZ LN
ARLINGTON, TX76005-1346
Phone: 817-487-7378
Fax: 817-977-8889
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X
Attendant Care Provider 3747A0650X
Home Health 251E00000X
In Home Supportive Care 253Z00000X

* Indicates primary specialty

NPI Profile & details for FIDELITY ENTRUST HEALTHCARE SERVICES LLC

NPI Number 1356926331
Legal business name
LBN
FIDELITY ENTRUST HEALTHCARE SERVICES LLC
Authorized official EBONI LYLES - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/11/2021
Last updated 02/17/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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