Healthcare Provider Details

I. General information

NPI: 1437027133
Provider Name (Legal Business Name): ABRICARE HOSPICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2025
Last Update Date: 10/25/2025
Certification Date: 10/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7248 PORTILLO
GRAND PRAIRIE TX
75054-0073
US

IV. Provider business mailing address

7248 PORTILLO
GRAND PRAIRIE TX
75054-0073
US

V. Phone/Fax

Practice location:
  • Phone: 469-288-7616
  • Fax:
Mailing address:
  • Phone: 469-288-7616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: TITILOPE WITEMIRE
Title or Position: OWNER
Credential:
Phone: 682-564-4685