Provider Demographics
NPI:1093334765
Name:THREE OAKS HOSPICE AUSTIN LLC
Entity Type:Organization
Organization Name:THREE OAKS HOSPICE AUSTIN LLC
Other - Org Name:THREE OAKS HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOHANNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-628-9950
Mailing Address - Street 1:717 N HARWOOD ST STE 550
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-6540
Mailing Address - Country:US
Mailing Address - Phone:214-628-9951
Mailing Address - Fax:214-389-0976
Practice Address - Street 1:7800 SHOAL CREEK BLVD STE 246S
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-1031
Practice Address - Country:US
Practice Address - Phone:512-323-6500
Practice Address - Fax:512-323-0404
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THREE OAKS HOSPICE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-04-13
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based