Provider Demographics
NPI:1962708560
Name:AURORA HOSPICE LLC
Entity type:Organization
Organization Name:AURORA HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / CEO
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:
Authorized Official - Last Name:ELSALEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-377-8077
Mailing Address - Street 1:PO BOX 37247
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77237-7247
Mailing Address - Country:US
Mailing Address - Phone:281-377-5517
Mailing Address - Fax:832-767-0578
Practice Address - Street 1:7211 REGENCY SQUARE BLVD
Practice Address - Street 2:STE 146
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-3138
Practice Address - Country:US
Practice Address - Phone:281-577-8077
Practice Address - Fax:832-767-0578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-31
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX014173251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001020766Medicaid
TX67-1703Medicare PIN