MEDICARE: ARABELLA PALLIATIVE & HOSPICE CARE, 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

General Provider Information

NPI Number	:	1891201182
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARABELLA PALLIATIVE & HOSPICE CARE, LLC

Provider Business Mailing Address
First Line	:	309 S. JUPITER RD.
Second Line	:	SUITE 100
City	:	ALLEN
State	:	TX
Zip	:	75002-3052
Country	:	US
Telephone Number	:	469-545-1995
Fax Number	:	214-785-7195

Provider Business Practice Location Address
First Line	:	309 S. JUPITER RD
Second Line	:	SUITE 100
City	:	ALLEN
State	:	TX
Zip	:	75002-3052
Country	:	US
Telephone Number	:	469-545-1995
Fax Number	:	214-785-7195

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. NEVA LEANN JACKSON
Credential	:	BSW
Telephone Number	:	214-334-6395

Provider Enumeration Date	:	12/21/2017
Last Update Date	:	03/03/2022

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