Provider Demographics
NPI:1528307170
Name:HYGIA HOSPICE, LLC
Entity type:Organization
Organization Name:HYGIA HOSPICE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DON
Authorized Official - Prefix:MS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:L
Authorized Official - Last Name:REEVES
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:817-478-7600
Mailing Address - Street 1:4200 SW GREEN OAKS BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-4162
Mailing Address - Country:US
Mailing Address - Phone:817-478-7600
Mailing Address - Fax:817-478-7606
Practice Address - Street 1:4200 SW GREEN OAKS BLVD STE 140
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-4162
Practice Address - Country:US
Practice Address - Phone:817-478-7600
Practice Address - Fax:817-478-7606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-01
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based