Provider Demographics
NPI:1497536023
Name:MAXBLESSING HOSPICE AND STAFFING AGENCY LLC
Entity Type:Organization
Organization Name:MAXBLESSING HOSPICE AND STAFFING AGENCY LLC
Other - Org Name:MAXBLESSING HOSPICE AND PALLIATIVE CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSE
Authorized Official - Prefix:
Authorized Official - First Name:MEGNOTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEMAYEHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-557-3290
Mailing Address - Street 1:12810 HILLCREST RD STE B-123
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-1525
Mailing Address - Country:US
Mailing Address - Phone:469-338-2244
Mailing Address - Fax:
Practice Address - Street 1:12810 HILLCREST RD STE B-123
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-1525
Practice Address - Country:US
Practice Address - Phone:972-750-7805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-10
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Single Specialty