Provider Demographics
NPI:1508383464
Name:HOLY HOSPICE AND PALLIATIVE CARE LLC
Entity Type:Organization
Organization Name:HOLY HOSPICE AND PALLIATIVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELO
Authorized Official - Middle Name:
Authorized Official - Last Name:DECENA-GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-908-2811
Mailing Address - Street 1:2300 VALLEY VIEW LN STE 915
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-1820
Mailing Address - Country:US
Mailing Address - Phone:214-556-3300
Mailing Address - Fax:214-556-3361
Practice Address - Street 1:2300 VALLEY VIEW LN STE 915
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-1820
Practice Address - Country:US
Practice Address - Phone:214-556-3300
Practice Address - Fax:214-556-3361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-23
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based