Provider Demographics
NPI:1235397407
Name:COSMOS HOSPICE LLC
Entity Type:Organization
Organization Name:COSMOS HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:SARNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-217-1105
Mailing Address - Street 1:717 N HARWOOD ST
Mailing Address - Street 2:SUITE 570
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-6501
Mailing Address - Country:US
Mailing Address - Phone:214-217-1105
Mailing Address - Fax:214-382-4440
Practice Address - Street 1:717 N HARWOOD ST
Practice Address - Street 2:SUITE 570
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-6501
Practice Address - Country:US
Practice Address - Phone:214-217-1105
Practice Address - Fax:214-382-4440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-23
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherTAX ID NUMBER