Provider Demographics
NPI:1902142011
Name:GIFT OF LIFE HOSPICE LLC
Entity Type:Organization
Organization Name:GIFT OF LIFE HOSPICE LLC
Other - Org Name:ANGEL HANDS HOSPICE - TARRANT COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARTI
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL CHEADLE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-267-1800
Mailing Address - Street 1:1616 GATEWAY BLVD STE F
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3529
Mailing Address - Country:US
Mailing Address - Phone:469-887-4654
Mailing Address - Fax:214-260-0757
Practice Address - Street 1:1616 GATEWAY BLVD STE F
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3529
Practice Address - Country:US
Practice Address - Phone:469-887-4654
Practice Address - Fax:214-260-0757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-17
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX015480251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX741512Medicare Oscar/Certification