Organization
CLASSIC HOSPICE LLC
Active
Organization
CLASSIC HOSPICE LLC
Active
Other names
CLASSIC HOSPICE & SENIOR CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACY L HULSEY-BROWN PT (OWNER)
(817) 792-2030
Entity
Organization
Contact information
Practice address
4025 WOODLAND PARK BLVD STE 120, ARLINGTON, TX 76013-4301
(817) 792-2030
(817) 792-2031
Mailing address
4025 WOODLAND PARK BLVD STE 120, ARLINGTON, TX 76013-4301
(817) 792-2030
(817) 792-2031
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45D2127221
CLIA
TX
05
—
HHS000004700156
—
TX
Enumeration date
09/11/2015
Last updated
02/04/2021
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