Provider Demographics
NPI:1295074466
Name:ROLLING MEADOWS HOSPICE, LLC
Entity type:Organization
Organization Name:ROLLING MEADOWS HOSPICE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-402-9300
Mailing Address - Street 1:1600 AIRPORT FWY STE 503
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76022-6882
Mailing Address - Country:US
Mailing Address - Phone:972-402-9300
Mailing Address - Fax:972-402-9303
Practice Address - Street 1:1600 AIRPORT FWY STE 503
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-6882
Practice Address - Country:US
Practice Address - Phone:972-402-9300
Practice Address - Fax:972-402-9303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-07
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based