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

Active since September 23, 2019CLIA 45D2172979 · Waiver
5802 WATAUGA RD, SUITE 100, WATAUGA, TX 76148(817) 406-1500(817) 928-5692 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 18, 2022, Aug 18, 2021, Feb 5, 2021 and 2 more (5 updates tracked since 2019).

About Lenity Light Hospice-fort Worth NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LENITY LIGHT HOSPICE-FORT WORTH (NPI 1063063881) is a healthcare organization registered as a hospice care, community based in Watauga, Texas and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through October 1, 2027 and lists Fatin Qutob, Cio, as its authorized official.

NPPES Registry Identity

NPI1063063881
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameAMBER HOSPICE LLC
Location Address5802 WATAUGA RD, SUITE 100Watauga, TX 76148-3069
Mailing Address5802 Watauga Rd, Suite 100Watauga, TX 76148-3069 · (817) 406-1500 · Fax (817) 928-5692
Fax(817) 928-5692
Organization SubpartNo
Authorized OfficialFatin QutobCio · (469) 757-1600
Enumeration DateSeptember 23, 2019
Last NPPES UpdateOctober 18, 20225 updates tracked since enumeration
NPPES CertifiedOctober 10, 2022
NPI 1063063881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
5802 WATAUGA RD, Watauga, TX 76148

Other Names 1

Doing Business AsLenity Light Hospice-fort Worth

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2172979

Amber Hospice, LLC · Watauga, TX
Active · expires Oct 1, 2027
CLIA Number45D2172979
Laboratory TypeHome Health Agency
Certificate Effective DateOctober 2, 2025
Certificate Expiration DateOctober 1, 2027
Laboratory DirectorMohammed Iqbal
Laboratory Phone(817) 406-1500
Laboratory LocationAmber Hospice, LLC5802 Watauga Rd Suite 100, Watauga, TX 76148
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amber Hospice LLC's NPI number?

The NPI number for Amber Hospice LLC is 1063063881. It was assigned to this organization in the NPPES registry on September 23, 2019. The provider is doing business as Lenity Light Hospice-Fort Worth.

Where is Amber Hospice LLC located?

Amber Hospice LLC is located at 5802 Watauga Rd Suite 100, Watauga, TX 76148. The listed phone number is (817) 406-1500.

What is Amber Hospice LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does Amber Hospice LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2172979) is associated with this NPI, valid through October 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Amber Hospice LLC was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.