MEDICARE: DIVINE MERCY HOSPICE, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1245427699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIVINE MERCY HOSPICE, PLLC

Provider Business Mailing Address
First Line	:	1234 CHESTNUT ST STE 114
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02464-1491
Country	:	US
Telephone Number	:	434-977-9711
Fax Number	:	434-235-4142

Provider Business Practice Location Address
First Line	:	400 S ZANG BLVD STE 1220
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208
Country	:	US
Telephone Number	:	817-225-2591
Fax Number	:	817-225-2503

Authorized Official
Title or Position	:	CHIEF ADMINISTRATIVE OFFICER
Name	:	JESSE R MOORE
Credential	:
Telephone Number	:	857-331-6271

Provider Enumeration Date	:	10/01/2007
Last Update Date	:	01/29/2025

Similar Medicare Providers

1063605129 — AMIT MANN MD
Practice Location Address:

221 W COLORADO BLVD , PAV II, SUITE 528
DALLAS, TX
75208-2363

Practice Phone: 214-960-5681
Practice Fax: 214-947-2727

1194728972 — DR. RALPH MICHAEL STEIGER M.D.
Practice Location Address:

122 W COLORADO BLVD
DALLAS, TX
75208-2382

Practice Phone: 214-947-6700
Practice Fax: 214-947-6701

1336144799 — VITACARE, INC.
Practice Location Address:

930 W COMMERCE ST
DALLAS, TX
75208

Practice Phone: 214-752-5900
Practice Fax: 214-752-5900

1831195650 — DR. ASHOK S. KIRUMAKI M.D.
Practice Location Address:

221 W COLORADO BLVD STE 525
DALLAS, TX
75208-2312

Practice Phone: 214-960-5681
Practice Fax: 214-960-5681

1093713901 — DR. MANUEL LORENZO MD
Practice Location Address:

221 W COLORADO BLVD , PAVILION II, SUITE 425
DALLAS, TX
75208-2312

Practice Phone: 214-947-3231
Practice Fax: 214-937-3239

1710979091 — DR. GREGG A SHALAN M.D.
Practice Location Address:

221 W COLORADO BLVD STE 525
DALLAS, TX
75208-2312

Practice Phone: 214-956-4525
Practice Fax:

1609868918 — DR. DAVID CHEN M.D.
Practice Location Address:

221 W COLORADO BLVD , PAV II, SUITE 840
DALLAS, TX
75208-2363

Practice Phone: 214-943-5001
Practice Fax: 214-946-0976

Directions to “DIVINE MERCY HOSPICE, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.