Provider Demographics
NPI:1922420173
Name:HOSPICE CARE PARTNERS, LLC
Entity Type:Organization
Organization Name:HOSPICE CARE PARTNERS, LLC
Other - Org Name:HOSPICE CARE PARTNERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:M
Authorized Official - Last Name:WELEBA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:817-203-2900
Mailing Address - Street 1:2015 E. LAMAR BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-7350
Mailing Address - Country:US
Mailing Address - Phone:817-203-2900
Mailing Address - Fax:817-203-2902
Practice Address - Street 1:2015 E. LAMAR BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-7350
Practice Address - Country:US
Practice Address - Phone:817-203-2900
Practice Address - Fax:817-203-2902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-07
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX016194251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001028731Medicaid
TX001028731Medicaid