Provider Demographics
NPI:1023755022
Name:ADIRA HOSPICE LLC
Entity type:Organization
Organization Name:ADIRA HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUMA
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-327-3399
Mailing Address - Street 1:1350 E ARAPAHO RD STE 236A
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-2453
Mailing Address - Country:US
Mailing Address - Phone:972-327-3399
Mailing Address - Fax:972-327-3398
Practice Address - Street 1:1350 E ARAPAHO RD STE 236A
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-2453
Practice Address - Country:US
Practice Address - Phone:972-327-3399
Practice Address - Fax:972-327-3398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-19
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based