Provider Demographics
NPI:1164627527
Name:SERVANT'S HEART HOSPICE, LLC
Entity Type:Organization
Organization Name:SERVANT'S HEART HOSPICE, LLC
Other - Org Name:CARING HANDS HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:EYRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-516-2640
Mailing Address - Street 1:3602 CYPRESS ST STE B
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-7314
Mailing Address - Country:US
Mailing Address - Phone:318-361-5220
Mailing Address - Fax:318-361-5221
Practice Address - Street 1:3602 CYPRESS ST STE B
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-7314
Practice Address - Country:US
Practice Address - Phone:318-361-5220
Practice Address - Fax:318-361-5221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-17
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based