MEDICARE: HEBRON HOME HEALTH AND HOSPICE, LLC

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	013559	TX

General Provider Information

NPI Number	:	1326362526
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEBRON HOME HEALTH AND HOSPICE, LLC

Provider Business Mailing Address
First Line	:	1701 N COLLINS BLVD STE 2100
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75080-3785
Country	:	US
Telephone Number	:	972-997-5941
Fax Number	:	972-499-1864

Provider Business Practice Location Address
First Line	:	1701 N COLLINS BLVD STE 2100
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75080-3785
Country	:	US
Telephone Number	:	972-997-5941
Fax Number	:	972-499-1864

Authorized Official
Title or Position	:	CHIEF QUALITY & COMPLIANCE OFFICER
Name	:	MOLLY MCDONALD
Credential	:
Telephone Number	:	218-791-9401

Provider Enumeration Date	:	03/17/2010
Last Update Date	:	09/17/2025

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