Provider Demographics
NPI:1821526427
Name:MYFAMILY HOSPICE LLC
Entity Type:Organization
Organization Name:MYFAMILY HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LEO
Authorized Official - Middle Name:
Authorized Official - Last Name:DELA ROSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-271-0095
Mailing Address - Street 1:10707 CORPORATE DR STE 120
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-4016
Mailing Address - Country:US
Mailing Address - Phone:713-271-0095
Mailing Address - Fax:346-240-3899
Practice Address - Street 1:10707 CORPORATE DR STE 120
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-4016
Practice Address - Country:US
Practice Address - Phone:713-271-0095
Practice Address - Fax:346-240-3899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-25
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX018175OtherTEXAS HEALTH AND HUMAN SERVICES