Provider Demographics
NPI:1942221866
Name:ASSURASOURCE HOSPICE LTD
Entity Type:Organization
Organization Name:ASSURASOURCE HOSPICE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOUSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-233-1010
Mailing Address - Street 1:12700 HILLCREST RD
Mailing Address - Street 2:SUITE 176
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2033
Mailing Address - Country:US
Mailing Address - Phone:972-233-1010
Mailing Address - Fax:972-233-1099
Practice Address - Street 1:12700 HILLCREST RD
Practice Address - Street 2:SUITE 258
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2033
Practice Address - Country:US
Practice Address - Phone:972-233-1010
Practice Address - Fax:972-233-1099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based