Provider Demographics
NPI:1811620503
Name:MARS HOSPICE LLC
Entity Type:Organization
Organization Name:MARS HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-379-1541
Mailing Address - Street 1:11709 SHOAL LANDING ST
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-8758
Mailing Address - Country:US
Mailing Address - Phone:346-445-2705
Mailing Address - Fax:
Practice Address - Street 1:1225 25TH ST N STE 100E
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77590-5170
Practice Address - Country:US
Practice Address - Phone:346-379-1541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-08
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based