Provider Demographics
NPI:1205652906
Name:ABIDING HOSPICE LLC
Entity type:Organization
Organization Name:ABIDING HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR V P OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:CASE
Authorized Official - Last Name:BURGESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-607-2302
Mailing Address - Street 1:4323 NW 63RD ST STE 232
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-1546
Mailing Address - Country:US
Mailing Address - Phone:405-607-2302
Mailing Address - Fax:866-403-3123
Practice Address - Street 1:4323 NW 63RD ST STE 215
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-1513
Practice Address - Country:US
Practice Address - Phone:405-607-2302
Practice Address - Fax:866-403-3123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based