Healthcare Provider Details

I. General information

NPI: 1275498446
Provider Name (Legal Business Name): SUNSET HAVEN HOSPICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 HIGHLAND VILLAGE RD STE 2214
HIGHLAND VILLAGE TX
75077-8114
US

IV. Provider business mailing address

2300 HIGHLAND VILLAGE RD STE 2214
HIGHLAND VILLAGE TX
75077-8114
US

V. Phone/Fax

Practice location:
  • Phone: 224-436-5399
  • Fax:
Mailing address:
  • Phone: 224-436-5399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JESSY JOSEPH
Title or Position: OWNER
Credential:
Phone: 224-436-5399