Provider Demographics
NPI:1063453256
Name:ASPERION HOSPICE OF DALLAS/FORT WORTH LP
Entity Type:Organization
Organization Name:ASPERION HOSPICE OF DALLAS/FORT WORTH LP
Other - Org Name:SAMARITAN CARE HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-773-1176
Mailing Address - Street 1:9535 FOREST LANE
Mailing Address - Street 2:SUITE 211
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243
Mailing Address - Country:US
Mailing Address - Phone:972-690-6632
Mailing Address - Fax:972-690-0834
Practice Address - Street 1:2350 AIRPORT FREEWAY
Practice Address - Street 2:SUITE 410
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022
Practice Address - Country:US
Practice Address - Phone:866-798-8159
Practice Address - Fax:817-858-6801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010034251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
671526Medicare Oscar/Certification