Provider Demographics
NPI:1588757876
Name:PEACE HOSPICE AND PALLIATIVE CARE INC
Entity type:Organization
Organization Name:PEACE HOSPICE AND PALLIATIVE CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOHANNON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-628-9950
Mailing Address - Street 1:717 N HARWOOD ST STE 550
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-6540
Mailing Address - Country:US
Mailing Address - Phone:214-628-9951
Mailing Address - Fax:214-389-0976
Practice Address - Street 1:1717 N NAPER BLVD STE 301
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-8839
Practice Address - Country:US
Practice Address - Phone:630-649-7630
Practice Address - Fax:630-649-7631
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THREE OAKS HOSPICE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-02
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based