Provider Demographics
NPI:1164724993
Name:LEGEND HOSPICE INC.
Entity Type:Organization
Organization Name:LEGEND HOSPICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-324-4565
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:214-324-4565
Mailing Address - Fax:214-919-4510
Practice Address - Street 1:4200 S HULEN ST STE 304
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-4911
Practice Address - Country:US
Practice Address - Phone:214-324-4565
Practice Address - Fax:214-919-4510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-30
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251E00000XAgenciesHome Health