LENITY LIGHT HOSPICE-FORT WORTH
NPI 1063063881
Hospice Care, Community Based in Watauga, TX

NPI Status: Active since September 23, 2019

Contact Information

5802 WATAUGA RD
SUITE 100
WATAUGA, TX
ZIP 76148
Phone: (817) 406-1500
Fax: (817) 928-5692

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  • Organization
  • Hospice Care, Community Based
  • CLIA Number: 45D2172979
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 10-01-2027

About LENITY LIGHT HOSPICE-FORT WORTH

This page provides the complete NPI Profile along with additional information for Lenity Light Hospice-fort Worth, a provider established in Watauga, Texas operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1063063881 assigned on September 2019. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Lenity Light Hospice-fort Worth. The authorized official of this NPI record is Ms. Fatin Qutob (Cio)

NPI
1063063881
Provider Legal Name
AMBER HOSPICE LLC
Other Organization Name
LENITY LIGHT HOSPICE-FORT WORTH
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5802 WATAUGA RD SUITE 100 WATAUGA, TX 76148
Location Phone
(817) 406-1500
Location Fax
(817) 928-5692
Mailing Address
5802 WATAUGA RD SUITE 100 WATAUGA, TX 76148
Mailing Phone
(817) 406-1500
Mailing Fax
(817) 928-5692
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-23-2019
Last Update Date
10-18-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. FATIN QUTOB

Authorized Official Title
CIO
Authorized Official Phone
(469) 757-1600

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2172979
Facility Type
Home Health Agency
Certificate Effective Date
October 02, 2025
Certificate Expiration Date
October 01, 2027
Laboratory Director
MOHAMMED IQBAL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lenity Light Hospice-fort Worth to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063063881, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 0 → 0 3 → 6 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 0 + 6 + 6 + 8 + 1 + 6 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1063063881.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Hospice Care, Community Based
5802 WATAUGA RD, SUITE 100
WATAUGA, TX 76148
Hospice Care, Community Based
5802 WATAUGA RD, SUITE 100
WATAUGA, TX 76148

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063063881, enumerated as an "organization" on September 23, 2019.

The provider is located at 5802 WATAUGA RD SUITE 100 WATAUGA, TX 76148 and the phone number is (817) 406-1500.

Hospice Care, Community Based with taxonomy code 251G00000X.