Provider Demographics
NPI:1831582121
Name:TEXACARE HOSPICE INCORPORATED
Entity type:Organization
Organization Name:TEXACARE HOSPICE INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LAARNIE
Authorized Official - Middle Name:BRAVO
Authorized Official - Last Name:REGALA
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN, WCN
Authorized Official - Phone:469-688-0414
Mailing Address - Street 1:12100 FORD RD STE 275
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-7234
Mailing Address - Country:US
Mailing Address - Phone:469-688-0414
Mailing Address - Fax:
Practice Address - Street 1:12100 FORD RD STE 275
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7234
Practice Address - Country:US
Practice Address - Phone:469-688-0414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-10
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based