Provider Demographics
NPI:1871898643
Name:ESTEEM HOSPICE, LLC
Entity type:Organization
Organization Name:ESTEEM HOSPICE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MERCHANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-239-8131
Mailing Address - Street 1:2459 E HEBRON PKWY
Mailing Address - Street 2:STE 130
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4482
Mailing Address - Country:US
Mailing Address - Phone:972-239-8131
Mailing Address - Fax:972-239-8183
Practice Address - Street 1:2459 E HEBRON PKWY
Practice Address - Street 2:STE 130
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4482
Practice Address - Country:US
Practice Address - Phone:972-239-8131
Practice Address - Fax:972-239-8183
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-25
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based