Provider Demographics
NPI:1063105054
Name:LOBIECARE HOSPICE LLC
Entity type:Organization
Organization Name:LOBIECARE HOSPICE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ISMAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:ADESANYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-547-8880
Mailing Address - Street 1:6218 KOLLE DR
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77471-2333
Mailing Address - Country:US
Mailing Address - Phone:281-547-8880
Mailing Address - Fax:346-336-8080
Practice Address - Street 1:8727 W RAYFORD RD STE 160
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77389-5440
Practice Address - Country:US
Practice Address - Phone:281-547-8880
Practice Address - Fax:346-336-8080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-26
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Single Specialty