Provider Demographics
NPI:1225536667
Name:MAYFLOWER HEALTHCARE LLC
Entity Type:Organization
Organization Name:MAYFLOWER HEALTHCARE LLC
Other - Org Name:MAYFLOWER HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AJESH
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:214-354-1319
Mailing Address - Street 1:14524 BLAKEHILL DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-4810
Mailing Address - Country:US
Mailing Address - Phone:214-354-1319
Mailing Address - Fax:
Practice Address - Street 1:14524 BLAKEHILL DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-4810
Practice Address - Country:US
Practice Address - Phone:214-354-1319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-31
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Multi-Specialty