Provider Demographics
NPI:1932795036
Name:PRAYFUL HOSPICE LLC
Entity type:Organization
Organization Name:PRAYFUL HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:DECENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-957-0973
Mailing Address - Street 1:2300 VALLEY VIEW LN STE 229
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-5193
Mailing Address - Country:US
Mailing Address - Phone:469-957-0973
Mailing Address - Fax:469-957-0974
Practice Address - Street 1:2300 VALLEY VIEW LN STE 229
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-5193
Practice Address - Country:US
Practice Address - Phone:469-957-0973
Practice Address - Fax:469-957-0974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-14
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based