Provider Demographics
NPI:1457584633
Name:HOSPICE PLUS NORTH EAST LLC
Entity Type:Organization
Organization Name:HOSPICE PLUS NORTH EAST LLC
Other - Org Name:HOSPICE PLUS NORTH EAST LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-385-3988
Mailing Address - Street 1:5550 HARVEST HILL RD
Mailing Address - Street 2:SUITE 50
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-1684
Mailing Address - Country:US
Mailing Address - Phone:972-385-3988
Mailing Address - Fax:972-385-3977
Practice Address - Street 1:5550 HARVEST HILL RD
Practice Address - Street 2:SUITE 50
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-1684
Practice Address - Country:US
Practice Address - Phone:972-385-3988
Practice Address - Fax:972-385-3977
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOSPICE PLUS NORTH EAST LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-03
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based