Provider Demographics
NPI:1437441169
Name:SAINT JOSEPH HOSPICE LLC
Entity Type:Organization
Organization Name:SAINT JOSEPH HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:KHAN
Authorized Official - Last Name:ASHRUF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-252-2300
Mailing Address - Street 1:2505 TEXAS DR
Mailing Address - Street 2:SUITE 109
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-7015
Mailing Address - Country:US
Mailing Address - Phone:972-252-2300
Mailing Address - Fax:972-252-2322
Practice Address - Street 1:2505 TEXAS DR
Practice Address - Street 2:SUITE 109
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-7015
Practice Address - Country:US
Practice Address - Phone:972-252-2300
Practice Address - Fax:972-252-2322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-13
Last Update Date:2013-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based