Provider Demographics
NPI:1295060143
Name:ABUNDANT HOSPICE SERVICES, LLC
Entity type:Organization
Organization Name:ABUNDANT HOSPICE SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARI-TONI
Authorized Official - Middle Name:CARAG
Authorized Official - Last Name:LANE
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:817-633-8300
Mailing Address - Street 1:1201 N WATSON RD STE 166
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-6223
Mailing Address - Country:US
Mailing Address - Phone:817-633-8300
Mailing Address - Fax:817-633-8302
Practice Address - Street 1:1201 N WATSON RD
Practice Address - Street 2:SUITE 166
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-6222
Practice Address - Country:US
Practice Address - Phone:817-633-8300
Practice Address - Fax:817-633-8302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-10
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX67-1668OtherPTAN