Provider Demographics
NPI:1972039949
Name:EPIC HOSPICE CARE LLC
Entity Type:Organization
Organization Name:EPIC HOSPICE CARE LLC
Other - Org Name:VALOR HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GARRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-224-8998
Mailing Address - Street 1:1412 W MAGNOLIA AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-4300
Mailing Address - Country:US
Mailing Address - Phone:682-224-8998
Mailing Address - Fax:682-334-7530
Practice Address - Street 1:1412 W MAGNOLIA AVE STE 300
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76104-4300
Practice Address - Country:US
Practice Address - Phone:682-224-8998
Practice Address - Fax:682-334-7530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-11
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based