ALPHA-OMEGA HOSPICE CARE - NPI NUMBER 1972776821

Summary

Provider Name: ALPHA-OMEGA HOSPICE CARE

NPI Number: 1972776821

Clasification: Hospice Care, Community Based (251G00000X)

Address:
3014 S SHILOH RD
SUITE D
GARLAND, TX
ZIP 75041

Phone Number: (972) 278-8585



Detailed Information

ALPHA-OMEGA HOSPICE CARE is a community based hospice care in Garland, TX. The assigned NPI number for this provider is 1972776821 and is registered as an organization entity type.

The provider's business address is:

3014 S SHILOH RD
SUITE D
GARLAND, TX
ZIP 75041-415
Phone: (972) 278-8585
Fax: (214) 227-4356

The provider's authorized official is Renji John .
The authorized official title is Owner and has the following contact phone number (972) 278-8585.

The enumeration date for this NPI number is 4/10/2008 and was last updated on 4/10/2008.

Map - Location of Practice

Similar Providers

NPI Provider Name / Taxonomy
1134461544 ACCESS HOSPICE
Hospice Care, Community Based
1346683943 PEACEWAY HOSPICE LLC
Hospice Care, Community Based

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 251G00000X Hospice Care, Community Based N/A TX Yes

NPI Record

No. Field Name Field Value
1 NPI 1972776821
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name ALPHA-OMEGA HOSPICE CARE
5 Provider First Line Business Practice Location Address 3014 S SHILOH RD
6 Provider Second Line Business Practice Location Address SUITE D
7 Provider Business Practice Location Address City Name GARLAND
8 Provider Business Practice Location Address State Name TX
9 Provider Business Practice Location Address Postal Code 750412415
10 Provider Business Practice Location Address Country Code If outside U S US
11 Provider Business Practice Location Address Telephone Number 9722788585
12 Provider Business Practice Location Address Fax Number 2142274356
13 Provider Enumeration Date 4/10/2008
14 Last Update Date 4/10/2008
15 Authorized Official Last Name JOHN
16 Authorized Official First Name RENJI
17 Authorized Official Title or Position OWNER
18 Authorized Official Telephone Number 9722788585
19 Healthcare Provider Taxonomy Code 1 251G00000X
20 Provider License Number 1 N/A
21 Provider License Number State Code 1 TX
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Is Organization Subpart N

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This page was last updated on: 7/15/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.