Provider Demographics
NPI:1205642329
Name:NEW AGE HOSPICE PALLIATIVE, LLC
Entity type:Organization
Organization Name:NEW AGE HOSPICE PALLIATIVE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DELEGATED AUTHORITY
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:CCO
Authorized Official - Phone:903-390-4040
Mailing Address - Street 1:7304 GOOD SAMARITAN CT STE B
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-1602
Mailing Address - Country:US
Mailing Address - Phone:915-533-0999
Mailing Address - Fax:
Practice Address - Street 1:7304 GOOD SAMARITAN CT STE B
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-1602
Practice Address - Country:US
Practice Address - Phone:915-533-0999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW AGE HOSPICE PALLIATIVE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based