Provider Demographics
NPI:1639552847
Name:SAINT ANDREW HOSPICE LLC
Entity Type:Organization
Organization Name:SAINT ANDREW HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR CEO
Authorized Official - Prefix:
Authorized Official - First Name:IRISH
Authorized Official - Middle Name:
Authorized Official - Last Name:BANKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-779-7401
Mailing Address - Street 1:346 OAKS TRL STE 202
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-4095
Mailing Address - Country:US
Mailing Address - Phone:972-232-2241
Mailing Address - Fax:972-232-2241
Practice Address - Street 1:346 OAKS TRL STE 202
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-4095
Practice Address - Country:US
Practice Address - Phone:972-232-2241
Practice Address - Fax:972-232-2241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX00000251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPENDINGOtherMEDICARE