Provider Demographics
NPI:1154178713
Name:ALURA HOSPICE LLC
Entity type:Organization
Organization Name:ALURA HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALT ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EDRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:BAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-797-2170
Mailing Address - Street 1:5601 EXECUTIVE DR STE 500
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75038-2729
Mailing Address - Country:US
Mailing Address - Phone:713-797-2170
Mailing Address - Fax:
Practice Address - Street 1:5601 EXECUTIVE DR STE 500
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-2729
Practice Address - Country:US
Practice Address - Phone:713-797-2170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based