Provider Demographics
NPI:1972206803
Name:HOSPICE 365 LLC
Entity type:Organization
Organization Name:HOSPICE 365 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICK
Authorized Official - Middle Name:
Authorized Official - Last Name:HASHIMOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-900-3988
Mailing Address - Street 1:333 N RIVERSHIRE DR STE 220
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-2711
Mailing Address - Country:US
Mailing Address - Phone:936-900-3988
Mailing Address - Fax:
Practice Address - Street 1:110 BILTMORE LOOP
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:TX
Practice Address - Zip Code:77316-1653
Practice Address - Country:US
Practice Address - Phone:936-900-3988
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-22
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based