Provider Demographics
NPI:1194051573
Name:NORTH AMERICAN HOSPICE LLC
Entity type:Organization
Organization Name:NORTH AMERICAN HOSPICE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF QUALITY & COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-791-9401
Mailing Address - Street 1:10701 CORPORATE DR STE 155
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-4031
Mailing Address - Country:US
Mailing Address - Phone:832-306-3105
Mailing Address - Fax:832-306-3706
Practice Address - Street 1:10701 CORPORATE DR STE 155
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-4031
Practice Address - Country:US
Practice Address - Phone:832-306-3105
Practice Address - Fax:832-306-3706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-20
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based