Provider Demographics
NPI:1336518257
Name:AXEL HOSPICE CARE,LLC
Entity Type:Organization
Organization Name:AXEL HOSPICE CARE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:SUMA
Authorized Official - Middle Name:C
Authorized Official - Last Name:JACOB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-680-6161
Mailing Address - Street 1:1350 E ARAPAHO RD STE 236
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-2453
Mailing Address - Country:US
Mailing Address - Phone:214-396-6565
Mailing Address - Fax:214-396-6555
Practice Address - Street 1:1350 E ARAPAHO RD STE 236
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-2453
Practice Address - Country:US
Practice Address - Phone:214-396-6565
Practice Address - Fax:214-396-6555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-21
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based