Provider Demographics
NPI:1457763120
Name:GREEN HILLS HOSPICE LLC
Entity type:Organization
Organization Name:GREEN HILLS HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:469-402-3450
Mailing Address - Street 1:4893 E FM 552
Mailing Address - Street 2:
Mailing Address - City:FATE
Mailing Address - State:TX
Mailing Address - Zip Code:75087-9731
Mailing Address - Country:US
Mailing Address - Phone:972-913-4165
Mailing Address - Fax:
Practice Address - Street 1:4893 E FM 552
Practice Address - Street 2:
Practice Address - City:FATE
Practice Address - State:TX
Practice Address - Zip Code:75087-9731
Practice Address - Country:US
Practice Address - Phone:972-913-4165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-28
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based