Provider Demographics
NPI:1912377383
Name:R2R PALLIATIVE AND HOSPICE CARE LLC
Entity Type:Organization
Organization Name:R2R PALLIATIVE AND HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:KEYS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-219-0020
Mailing Address - Street 1:751 HEBRON PKWY STE 210
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-5002
Mailing Address - Country:US
Mailing Address - Phone:972-219-0020
Mailing Address - Fax:972-219-0019
Practice Address - Street 1:751 HEBRON PKWY STE 210
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-5002
Practice Address - Country:US
Practice Address - Phone:972-219-0020
Practice Address - Fax:972-219-0019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-29
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1912377383Medicaid
TX1477949741OtherSTATE