Provider Demographics
NPI:1053789560
Name:HOSPICE CARE OF NORTH TEXAS,INC.
Entity type:Organization
Organization Name:HOSPICE CARE OF NORTH TEXAS,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JOBI
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-274-9185
Mailing Address - Street 1:2306 GUTHRIE RD
Mailing Address - Street 2:260-E
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-5967
Mailing Address - Country:US
Mailing Address - Phone:469-274-9185
Mailing Address - Fax:
Practice Address - Street 1:2306 GUTHRIE RD
Practice Address - Street 2:260-E
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-5967
Practice Address - Country:US
Practice Address - Phone:469-274-9185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-14
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based