Provider Demographics
NPI:1922714112
Name:LIVE AGAIN HOSPICE CARE LLC
Entity Type:Organization
Organization Name:LIVE AGAIN HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DOMINICA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIRIBE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:469-774-0001
Mailing Address - Street 1:1911 LIVINGSTON RD
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-4820
Mailing Address - Country:US
Mailing Address - Phone:469-774-0001
Mailing Address - Fax:
Practice Address - Street 1:1911 LIVINGSTON RD
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-4820
Practice Address - Country:US
Practice Address - Phone:469-774-0001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based