BEYONDFAITH HOSPICE OF JACKSBORO, LLC (NPI# 1225422694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225422694 |
| Entity Type | Organization |
| Organization Name | BEYONDFAITH HOSPICE OF JACKSBORO, LLC |
| Other Organization Name | BEYONDFAITH HOSPICE OF WICHITA FALLS, LLC |
| Practice Address |
1702 Kell Blvd Wichita Falls TX 76301-5627 |
| Mailing Address |
604 Oak St Ste 105 Graham TX 76450-3070 |
| Practice Telephone | 9406968901 |
| Practice Fax Number | 9406968902 |
| Mailing Telephone | (940) 521-9915 |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2017-11-29 |
| Authorized Official Name | BECKY RICHARDSON (OWNER) |
| Authorized Official Telephone | 9406968901 |
| Authorized Official Credential | RN, BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | TX | Agencies |
| Other Name | Type Code |
|---|---|
| BeyondFaith Hospice of Wichita Falls, LLC | Doing Business As Name - Organization |
| Street Address |
1702 KELL BLVD |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76301-5627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174622260 | Ben W. Lam, D.p.m., P.C. | Podiatrist | 1702 Kell Blvd, Wichita Falls, TX 76301-5627 | 2006-09-22 |
| 1972068682 | Ashley Stewart | Nurse Practitioner | 1702 Kell Blvd, Wichita Falls, TX 76301-5627 | 2019-02-06 |
| 1871789602 | Benny Wong Lam | Podiatrist | 1702 Kell Blvd, Wichita Falls, TX 76301-5627 | 2007-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192991 | Rebecca Ashley Marin | Licensed Vocational Nurse | 909 8th Sreet, Ste 100, Wichita Falls, TX 76301 | 2020-04-16 |
| 1164077558 | Melissa Ann Marshall | Registered Nurse | 1717 Lucile Ave, Wichita Falls, TX 76301 | 2019-08-02 |
| 1841760659 | Edward Scott Hamilton | Psychologist | 710 Lamar St., Wichita Falls, TX 76301 | 2018-12-05 |
| 1457872681 | Jennyfer A Rosado | Counselor | 719 Scott Ave Ste 610, Wichita Falls, TX 76301 | 2017-06-28 |
| 1023547676 | Cale David Lennard | Dentist | 2405 9th St Ste A, Wichita Falls, TX 76301 | 2017-06-07 |
| 1790198455 | Tongle Yu | Family Medicine | 1301 Third St, Suite 200, Wichita Falls, TX 76301 | 2014-06-10 |
| 1821412081 | Jennifer Burbage | Nurse Practitioner | 1700 3rd Street, Wichita Falls, TX 76301 | 2014-02-09 |
| 1275871568 | Jeffrey John Papak | Pharmacy Technician | 1610 9th Street, Wichita Falls, TX 76301 | 2013-01-22 |
| 1679826853 | Cheryl Denise Williams | Clinical Nurse Specialist | 1605 10th Street, Wichita Falls, TX 76301 | 2012-10-24 |
| 1902199250 | Tilahun Worku Belay | Internal Medicine | 1631 11th St Unit B, Wichita Falls, TX 76301 | 2011-05-19 |
| Find all providers in zip 76301 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477648228 | Compass Hospice, Inc. | Hospice Care, Community Based | 4210 Kell Blvd Ste 204, Wichita Falls, TX 76309-4821 | 2006-10-04 |
| 1770583254 | Hospice of Wichita Falls, Inc. | Hospice Care, Community Based | 4909 Johnson Rd, Wichita Falls, TX 76310-2547 | 2005-07-27 |
| 1164044012 | E Hospice Group of Texas No 1 LLC | Hospice Care, Community Based | 4309 Old Jacksboro Hwy, Wichita Falls, TX 76302-2740 | 2020-05-14 |
| 1811929888 | Chaparral Hospice, Inc | Hospice Care, Community Based | 900 8th St, Suite 510, Wichita Falls, TX 76301-6801 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800529 | Remarkable Ltc Partners of Brazos Valley Lp | Hospice Care, Community Based | 1645 Greens Prairie Rd W Ste 401b-2, College Station, TX 77845-8404 | 2020-10-31 |
| 1942800651 | Ld5 LLC | Hospice Care, Community Based | 6913 N 40th St, Mcallen, TX 78504-5400 | 2020-10-30 |
| 1649870791 | Unique Hospice Care Inc | Hospice Care, Community Based | 1012 Hidden Creek Dr, Allen, TX 75002-2797 | 2020-10-28 |
| 1164022505 | Cypress Hospice & Palliative Care LLC | Hospice Care, Community Based | 14405 Walters Rd Ste 614, Houston, TX 77014-1562 | 2020-10-26 |
| 1700485752 | Texas Hospice Services, LLC | Hospice Care, Community Based | 2665 Villa Creek Dr Ste 202, Dallas, TX 75234-7333 | 2020-10-21 |
| 1295334365 | Cmsp Hospice Care Inc | Hospice Care, Community Based | 2100 N Hwy 360 Ste 1105b, Grand Prairie, TX 75050-1011 | 2020-10-20 |
| 1215535711 | Hope Healthcare System International LLC | Hospice Care, Community Based | 14601 Bellaire Blvd # 151, Houston, TX 77083-2505 | 2020-10-15 |
| 1912505140 | Dfw Plus Hospice Care LLC | Hospice Care, Community Based | 6704 Vista Trl, Plano, TX 75024-7447 | 2020-10-09 |
| 1912514696 | Rainbow Hospice LLC | Hospice Care, Community Based | 11119 Cranstonhill Ct, Richmond, TX 77407-1712 | 2020-09-28 |
| 1205443702 | Avitacare Hospice LLC | Hospice Care, Community Based | 301 N King St Ste 101, Alice, TX 78332-4761 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
| City | WICHITA FALLS |
| Zip Code | 76301 |
Please comment or provide details below to improve the information on BEYONDFAITH HOSPICE OF JACKSBORO, 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.