Provider Demographics
NPI:1124341979
Name:AMERICAN HOSPICE, INC
Entity type:Organization
Organization Name:AMERICAN HOSPICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:G
Authorized Official - Last Name:POSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-551-0355
Mailing Address - Street 1:3409 EXECUTIVE CENTER DR
Mailing Address - Street 2:STE 128
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-1600
Mailing Address - Country:US
Mailing Address - Phone:512-343-7900
Mailing Address - Fax:512-343-2727
Practice Address - Street 1:3409 EXECUTIVE CENTER DR
Practice Address - Street 2:STE 128
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-1600
Practice Address - Country:US
Practice Address - Phone:512-343-7900
Practice Address - Fax:512-343-2727
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN HOSPICE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-03-09
Last Update Date:2010-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPENDING251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPENDINGMedicaid
TXPENDINGMedicare Oscar/Certification