Provider Demographics
NPI:1821044538
Name:FAMILY HOSPICE, LTD.
Entity Type:Organization
Organization Name:FAMILY HOSPICE, LTD.
Other - Org Name:VISTACARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:R
Authorized Official - Last Name:SLAGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-648-4545
Mailing Address - Street 1:4800 N SCOTTSDALE RD
Mailing Address - Street 2:SUITE 5000
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-7630
Mailing Address - Country:US
Mailing Address - Phone:480-648-4545
Mailing Address - Fax:480-648-4550
Practice Address - Street 1:8203 WILLOW PLACE DR S
Practice Address - Street 2:SUITE #160
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-5655
Practice Address - Country:US
Practice Address - Phone:281-890-0255
Practice Address - Fax:281-890-0265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009663251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX451736Medicare ID - Type Unspecified