Provider Demographics
NPI:1245836659
Name:ASSURED HOSPICE LLC
Entity type:Organization
Organization Name:ASSURED HOSPICE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:DEZOLLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-389-0340
Mailing Address - Street 1:700 E PARK BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-8842
Mailing Address - Country:US
Mailing Address - Phone:469-389-0340
Mailing Address - Fax:469-452-6018
Practice Address - Street 1:700 E PARK BLVD STE 102
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-8842
Practice Address - Country:US
Practice Address - Phone:469-389-0340
Practice Address - Fax:469-452-6018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-10
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based