Provider Demographics
NPI:1154839355
Name:PROVIDERS ASSOCIATION FOR HOME HEALTH,HOSPICE& HEALTHCARE AGENCIES INC
Entity Type:Organization
Organization Name:PROVIDERS ASSOCIATION FOR HOME HEALTH,HOSPICE& HEALTHCARE AGENCIES INC
Other - Org Name:HOSPE FOR THE HOPELESS HOSPICE INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-247-1643
Mailing Address - Street 1:2665 VILLA CREEK DR STE 201
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-7337
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2665 VILLA CREEK DR STE 201
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7337
Practice Address - Country:US
Practice Address - Phone:972-247-1643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-01-22
Last Update Date:2018-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based