Provider Demographics
NPI:1770988198
Name:DELTA HOSPICE LLC
Entity type:Organization
Organization Name:DELTA HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROY
Authorized Official - Middle Name:
Authorized Official - Last Name:KOSHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-424-4001
Mailing Address - Street 1:2245 VALWOOD PKWY
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75234-3407
Mailing Address - Country:US
Mailing Address - Phone:972-424-4001
Mailing Address - Fax:888-977-3576
Practice Address - Street 1:2245 VALWOOD PKWY
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-3407
Practice Address - Country:US
Practice Address - Phone:972-424-4001
Practice Address - Fax:888-977-3576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-28
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX016741OtherLICENSE