Provider Demographics
NPI:1669878955
Name:CARENET HOSPICE LLC
Entity type:Organization
Organization Name:CARENET HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:PHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-350-6269
Mailing Address - Street 1:4500 MERCANTILE PLAZA DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76137-4225
Mailing Address - Country:US
Mailing Address - Phone:817-350-6269
Mailing Address - Fax:817-479-2787
Practice Address - Street 1:4500 MERCANTILE PLAZA DR
Practice Address - Street 2:SUITE 300
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76137-4225
Practice Address - Country:US
Practice Address - Phone:817-350-6269
Practice Address - Fax:817-479-2787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-13
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based