National Provider Identifier Database

HEART TO HEART HOSPICE OF FORT WORTH LLC
Hospice Care, Community Based


Contact Information

HEART TO HEART HOSPICE OF FORT WORTH, LLC
6100 SOUTHWEST BLVD.
SUITE 200
FORT WORTH, TX76109
Phone: 817-731-9700
Fax: 817-731-9708
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X

* Indicates primary specialty

NPI Profile & details for HEART TO HEART HOSPICE OF FORT WORTH, LLC

NPI Number 1457495434
Legal business name
LBN
HEART TO HEART HOSPICE OF FORT WORTH, LLC
Authorized official KELLY MITCHELL - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 02/16/2007
Last updated 11/16/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • TX License #: 011415
  • TX Medicaid: 001015199

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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