| Organization Name: | TRINITY HOSPICE- CASTLE PEAK, LP |
| NPI Number: | 1588615215 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AMY MARIE WHITLEY (BILLING MANAGER) |
| Mailing Address: | 6850 Manhattan Blvd Fort Worth |
| State: | TX US |
| Postal Code: | 761201227 |
| Phone Number: | 8174574329 |
| Fax Number: | 9723860704 |
| NPI Enumeration Date: | 05/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 009074 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |