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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 Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
 

Attendant Care Provider

3747A0650X
 

Home Health

251E00000X A4[11] Home Health Agency
 

In Home Supportive Care

253Z00000X
Indicates primary specialty

NPI Profile & details for FIDELITY ENTRUST HEALTHCARE SERVICES LLC

NPI # 1356926331
LBN Legal business name FIDELITY ENTRUST HEALTHCARE SERVICES LLC
Authorized official EBONI LYLES - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/11/2021
Last updated 02/17/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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