Provider Demographics
NPI:1295114999
Name:YOUR HOSPICE
Entity type:Organization
Organization Name:YOUR HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FARIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABJANI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:773-946-0226
Mailing Address - Street 1:3215 BAYOU XING
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-1920
Mailing Address - Country:US
Mailing Address - Phone:832-987-4908
Mailing Address - Fax:281-709-6757
Practice Address - Street 1:3215 BAYOU XING
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-1920
Practice Address - Country:US
Practice Address - Phone:832-987-4908
Practice Address - Fax:281-709-6757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-27
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based