Provider Demographics
NPI:1902371180
Name:AMAZING HANDS HOSPICE LLC
Entity Type:Organization
Organization Name:AMAZING HANDS HOSPICE LLC
Other - Org Name:AMAZING HANDS HOSPICE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YAYE
Authorized Official - Middle Name:
Authorized Official - Last Name:KESSEBEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-403-7080
Mailing Address - Street 1:2944 MOTLEY DR STE 201
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-3458
Mailing Address - Country:US
Mailing Address - Phone:214-403-7080
Mailing Address - Fax:
Practice Address - Street 1:2944 MOTLEY DR STE 201
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-3458
Practice Address - Country:US
Practice Address - Phone:214-403-7080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-04
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based