Provider Demographics
NPI:1326517293
Name:ABRA HOSPICE LLC
Entity Type:Organization
Organization Name:ABRA HOSPICE LLC
Other - Org Name:ABRA HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:RENUKA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-650-6767
Mailing Address - Street 1:27926 BANDERA GLEN LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-4075
Mailing Address - Country:US
Mailing Address - Phone:317-650-6767
Mailing Address - Fax:
Practice Address - Street 1:410 W GRAND PKWY S
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-8361
Practice Address - Country:US
Practice Address - Phone:281-940-8912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-20
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based