Provider Demographics
NPI:1740614742
Name:JEEVAN HOSPICE INC
Entity Type:Organization
Organization Name:JEEVAN HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SAJITH
Authorized Official - Middle Name:
Authorized Official - Last Name:NANDAKUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-998-6624
Mailing Address - Street 1:5200 PAIGE RD STE 450
Mailing Address - Street 2:
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056-2121
Mailing Address - Country:US
Mailing Address - Phone:214-998-6624
Mailing Address - Fax:214-853-4318
Practice Address - Street 1:5200 PAIGE RD STE 450
Practice Address - Street 2:
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-2121
Practice Address - Country:US
Practice Address - Phone:214-998-6624
Practice Address - Fax:214-853-4318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-26
Last Update Date:2013-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based