Provider Demographics
NPI:1164784658
Name:SILVER HEART HOSPICE LLC
Entity Type:Organization
Organization Name:SILVER HEART HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:RODERICK
Authorized Official - Middle Name:C
Authorized Official - Last Name:SATUITO
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:817-739-4007
Mailing Address - Street 1:2601 TANDY AVE
Mailing Address - Street 2:# 800
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76103-2552
Mailing Address - Country:US
Mailing Address - Phone:214-893-2689
Mailing Address - Fax:
Practice Address - Street 1:2601 TANDY AVE
Practice Address - Street 2:# 800
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76103-2552
Practice Address - Country:US
Practice Address - Phone:214-893-2689
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based