Provider Demographics
NPI:1548900566
Name:SOLEIL HAVEN HOSPICE LLC
Entity type:Organization
Organization Name:SOLEIL HAVEN HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BUNU
Authorized Official - Middle Name:
Authorized Official - Last Name:SUBEDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-400-3710
Mailing Address - Street 1:4453 SAVAGE STATION DR
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-1645
Mailing Address - Country:US
Mailing Address - Phone:214-400-3710
Mailing Address - Fax:214-235-0754
Practice Address - Street 1:4453 SAVAGE STATION DR FL 1
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-1645
Practice Address - Country:US
Practice Address - Phone:214-400-3710
Practice Address - Fax:214-235-0754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-29
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care