Provider Demographics
NPI:1346683943
Name:PEACEWAY HOSPICE LLC
Entity Type:Organization
Organization Name:PEACEWAY HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:HIGBEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-366-5030
Mailing Address - Street 1:3200 BROADWAY BLVD STE 220
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-9909
Mailing Address - Country:US
Mailing Address - Phone:972-366-5030
Mailing Address - Fax:469-391-9960
Practice Address - Street 1:3200 BROADWAY BLVD STE 220
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-9909
Practice Address - Country:US
Practice Address - Phone:972-366-5030
Practice Address - Fax:469-391-9960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-12
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based