Provider Demographics
NPI:1760924393
Name:MED PLUS HOSPICE LLC
Entity Type:Organization
Organization Name:MED PLUS HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAISON
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-439-7181
Mailing Address - Street 1:18601 LYNDON B JOHNSON FWY STE 330
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-6437
Mailing Address - Country:US
Mailing Address - Phone:914-439-7181
Mailing Address - Fax:
Practice Address - Street 1:18601 LYNDON B JOHNSON FWY STE 330
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-6437
Practice Address - Country:US
Practice Address - Phone:914-439-7181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-14
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based