Organization · Type 2 NPI

Bespoke Hospice Care LLC

Community Based Hospice Care Agency · North Richland Hills, TX

NPI number 1215670096 Active

Practice location

9001 Airport Fwy Ste 580
North Richland Hills, TX 76180-7774

Specialties and licenses

Taxonomy	Code	License
Community Based Hospice Care Agency Primary	251G00000X	None listed

Community Based Hospice Care Agency: Definition to come...

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NPI record

NPI: 1215670096
Entity type: Organization (Type 2)
Issued: Apr 19, 2022
Last updated: Oct 10, 2022
Status: Active

Other names

<unavail>
Ja Freedom Holdings LLC · former legal business name
Ja Freedom Holdings LLC · former legal business name

Authorized official

Tyler Clark McKibben
CFO/coo
(817) 507-6751

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1215670096

Bespoke Hospice Care LLC's National Provider Identifier is 1215670096, issued on Apr 19, 2022. The primary taxonomy on file is Community Based Hospice Care Agency (251G00000X), and the practice location is in North Richland Hills, TX. The record was last updated on Oct 10, 2022.