Provider Demographics
NPI:1609342773
Name:LONE STAR HOSPICE CARE LLC
Entity Type:Organization
Organization Name:LONE STAR HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAWLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-704-9882
Mailing Address - Street 1:2317 STARLIGHT CT
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-6425
Mailing Address - Country:US
Mailing Address - Phone:817-704-9882
Mailing Address - Fax:817-704-3269
Practice Address - Street 1:2317 STARLIGHT CT
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-6425
Practice Address - Country:US
Practice Address - Phone:817-704-9882
Practice Address - Fax:817-704-3269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-16
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based