Provider Demographics
NPI:1578393880
Name:CARESTAR HOSPICE OF TEXAS LLC
Entity type:Organization
Organization Name:CARESTAR HOSPICE OF TEXAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:DARNALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-901-4780
Mailing Address - Street 1:1380 HIGHWAY 287 N STE 103
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-7539
Mailing Address - Country:US
Mailing Address - Phone:817-592-5800
Mailing Address - Fax:817-592-5151
Practice Address - Street 1:1380 HIGHWAY 287 N STE 103
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-7539
Practice Address - Country:US
Practice Address - Phone:817-592-5800
Practice Address - Fax:817-592-5151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based