Provider Demographics
NPI:1326362526
Name:HEBRON HOME HEALTH AND HOSPICE, LLC
Entity Type:Organization
Organization Name:HEBRON HOME HEALTH AND HOSPICE, LLC
Other - Org Name:DIGNITY HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILSTEIN - WOMACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-997-5941
Mailing Address - Street 1:13601 PRESTON ROAD
Mailing Address - Street 2:SUITE W400
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240
Mailing Address - Country:US
Mailing Address - Phone:972-997-5941
Mailing Address - Fax:972-499-1864
Practice Address - Street 1:13601 PRESTON ROAD
Practice Address - Street 2:SUITE W400
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240
Practice Address - Country:US
Practice Address - Phone:972-997-5941
Practice Address - Fax:972-499-1864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013559251G00000X
251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
741529Medicare Oscar/Certification
741529Medicare PIN