Provider Demographics
NPI:1619594538
Name:TRANSCEND HOSPICE 17 LLC
Entity Type:Organization
Organization Name:TRANSCEND HOSPICE 17 LLC
Other - Org Name:GRAYCE ENHANCED HOSPICE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANCHARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-589-2007
Mailing Address - Street 1:6502 4TH STREET LUBBOCK
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79416
Mailing Address - Country:US
Mailing Address - Phone:806-589-2007
Mailing Address - Fax:806-589-1366
Practice Address - Street 1:6502 4TH STREET LUBBOCK
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79416
Practice Address - Country:US
Practice Address - Phone:806-589-2007
Practice Address - Fax:806-589-1366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-26
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based