MEDICARE: MERCY HOSPICE, LTD

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	:	1790885978
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY HOSPICE, LTD

Provider Business Mailing Address
First Line	:	2281 OLYMPIA DR STE 100
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-1857
Country	:	US
Telephone Number	:	972-459-9992
Fax Number	:	972-459-9911

Provider Business Practice Location Address
First Line	:	2281 OLYMPIA DR STE 100
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75028-1857
Country	:	US
Telephone Number	:	972-459-9992
Fax Number	:	972-459-9911

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	AMISHA PATEL
Credential	:
Telephone Number	:	972-459-9992

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	06/10/2026

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