Provider Demographics
NPI:1265924294
Name:AMEDICUS HOSPICE INC.
Entity type:Organization
Organization Name:AMEDICUS HOSPICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAKEITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-389-1028
Mailing Address - Street 1:1017 W US HIGHWAY 175
Mailing Address - Street 2:
Mailing Address - City:CRANDALL
Mailing Address - State:TX
Mailing Address - Zip Code:75114-2005
Mailing Address - Country:US
Mailing Address - Phone:469-389-2020
Mailing Address - Fax:
Practice Address - Street 1:1017 W US HIGHWAY 175
Practice Address - Street 2:
Practice Address - City:CRANDALL
Practice Address - State:TX
Practice Address - Zip Code:75114-2005
Practice Address - Country:US
Practice Address - Phone:469-389-1028
Practice Address - Fax:469-606-0835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-05
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based