Provider Demographics
NPI:1144525700
Name:FALCON SOUTH PLAINS HOSPICE, LP
Entity type:Organization
Organization Name:FALCON SOUTH PLAINS HOSPICE, LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MARKER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:806-771-0995
Mailing Address - Street 1:101 W RENNER RD STE 420
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-2022
Mailing Address - Country:US
Mailing Address - Phone:214-550-3306
Mailing Address - Fax:806-771-3813
Practice Address - Street 1:6801 SANGER AVE STE 260
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-7803
Practice Address - Country:US
Practice Address - Phone:254-741-6570
Practice Address - Fax:254-751-9390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-12
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX014809OtherSTATE OPERATOR LICENSE
TX001026114Medicaid
45D2185345OtherCLIA