MEDICARE: ULTIMATE PLUS 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1750778197
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ULTIMATE PLUS HOSPICE LLC

Provider Business Mailing Address
First Line	:	3218 INTERSTATE 30 STE 111A
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75150-2656
Country	:	US
Telephone Number	:	214-427-8227
Fax Number	:	214-427-8228

Provider Business Practice Location Address
First Line	:	3218 INTERSTATE 30 STE 111A
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75150-2656
Country	:	US
Telephone Number	:	214-427-8227
Fax Number	:	214-427-8228

Authorized Official
Title or Position	:	VP OF OPERATIONS
Name	:	DELENE GEORGE
Credential	:
Telephone Number	:	972-240-4700

Provider Enumeration Date	:	04/23/2015
Last Update Date	:	05/29/2026

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Directions to “ULTIMATE PLUS HOSPICE LLC ” Practice Location

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