ALTUS HOSPICE OF DALLAS, LP; NPI #1770837197

Contact Information

ALTUS HOSPICE OF DALLAS, LP

4560 BELT LINE RD
SUITE 404
ADDISON, TX 75001-4505

Phone: 972-761-9140
Fax: 214-221-8891
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hospice Care, Community Based	251G00000X	B4[14]	Hospice

Indicates primary specialty

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NPI Profile & details for ALTUS HOSPICE OF DALLAS, LP

NPI # 1770837197

LBN Legal business name ALTUS HOSPICE OF DALLAS, LP

Authorized official MARK MULLINAX - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/07/2012

Last updated 11/22/2016 - About 10 years ago

Identifiers

TX	License #	015727
TX	Medicaid	001027841

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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