Provider Demographics
NPI:1548140254
Name:MORNING LIGHT HOSPICE OF DALLAS, LLC
Entity type:Organization
Organization Name:MORNING LIGHT HOSPICE OF DALLAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEJENA
Authorized Official - Middle Name:
Authorized Official - Last Name:LHERISSON-HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:469-682-5733
Mailing Address - Street 1:2606 GREENLAWN DR
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-8219
Mailing Address - Country:US
Mailing Address - Phone:214-256-4344
Mailing Address - Fax:214-935-8537
Practice Address - Street 1:2606 GREENLAWN DR
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-8219
Practice Address - Country:US
Practice Address - Phone:214-256-4344
Practice Address - Fax:214-935-8537
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH1000XNursing Service ProvidersRegistered NurseHospiceGroup - Multi-Specialty
No163WA2000XNursing Service ProvidersRegistered NurseAdministratorGroup - Multi-Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty