Provider Demographics
NPI:1508020181
Name:COSMOS HOSPICE OF AUSTIN, LLC
Entity Type:Organization
Organization Name:COSMOS HOSPICE OF AUSTIN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SONAL
Authorized Official - Middle Name:R
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-703-9990
Mailing Address - Street 1:16435 DAWNCREST WAY
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-7164
Mailing Address - Country:US
Mailing Address - Phone:281-703-9990
Mailing Address - Fax:281-277-0774
Practice Address - Street 1:3409 EXECUTIVE CENTER DR
Practice Address - Street 2:SUITE 241
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-1641
Practice Address - Country:US
Practice Address - Phone:281-703-9990
Practice Address - Fax:281-277-0774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-14
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherTAX ID NUMBER