Provider Demographics
NPI:1124239603
Name:HOSPICE HANDS OF WEST TEXAS INC.
Entity type:Organization
Organization Name:HOSPICE HANDS OF WEST TEXAS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RENDON
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:806-652-3000
Mailing Address - Street 1:PO BOX 1118
Mailing Address - Street 2:
Mailing Address - City:LOCKNEY
Mailing Address - State:TX
Mailing Address - Zip Code:79241-1118
Mailing Address - Country:US
Mailing Address - Phone:806-652-3000
Mailing Address - Fax:806-652-2766
Practice Address - Street 1:305 N MAIN
Practice Address - Street 2:
Practice Address - City:LOCKNEY
Practice Address - State:TX
Practice Address - Zip Code:79241-1118
Practice Address - Country:US
Practice Address - Phone:806-652-3000
Practice Address - Fax:806-652-2766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007615251T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2167Medicaid
TX2167Medicaid