Provider Demographics
NPI:1083152763
Name:ELIM HOSPICE LLC
Entity Type:Organization
Organization Name:ELIM HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-340-2149
Mailing Address - Street 1:18601 LYNDON B JOHNSON FWY STE 110
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-5629
Mailing Address - Country:US
Mailing Address - Phone:469-340-2149
Mailing Address - Fax:972-288-1764
Practice Address - Street 1:18601 LYNDON B JOHNSON FWY STE 110
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-5629
Practice Address - Country:US
Practice Address - Phone:469-340-2149
Practice Address - Fax:972-288-1764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-02
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based