Provider Demographics
NPI:1902676943
Name:MAPLE CARE HOSPICE LLC
Entity Type:Organization
Organization Name:MAPLE CARE HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLETUS
Authorized Official - Middle Name:
Authorized Official - Last Name:AROGHALU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-788-7707
Mailing Address - Street 1:18319 LICOLA MEADOW LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3607
Mailing Address - Country:US
Mailing Address - Phone:832-788-7707
Mailing Address - Fax:
Practice Address - Street 1:18319 LICOLA MEADOW LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3607
Practice Address - Country:US
Practice Address - Phone:832-788-7707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based