Provider Demographics
NPI:1346720075
Name:SHELTER HOSPICE INC
Entity Type:Organization
Organization Name:SHELTER HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MINI
Authorized Official - Middle Name:
Authorized Official - Last Name:PRINCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-778-0700
Mailing Address - Street 1:8111 LBJ FWY STE 1330
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75251-1475
Mailing Address - Country:US
Mailing Address - Phone:469-778-0700
Mailing Address - Fax:
Practice Address - Street 1:8111 LBJ FWY STE 1330
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75251-1475
Practice Address - Country:US
Practice Address - Phone:469-778-0700
Practice Address - Fax:469-778-0707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-21
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care