Healthcare Provider Details

I. General information

NPI: 1558730267
Provider Name (Legal Business Name): ALPHA OMEGA HOSPICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2015
Last Update Date: 09/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 NE LOOP 820
HURST TX
76053-7209
US

IV. Provider business mailing address

3021 LORNA RD SUITE 200
BIRMINGHAM AL
35216-4587
US

V. Phone/Fax

Practice location:
  • Phone: 817-238-0770
  • Fax: 817-238-0786
Mailing address:
  • Phone: 205-533-7215
  • Fax: 205-588-2134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number009222
License Number StateTX

VIII. Authorized Official

Name: MRS. NORMA ENGLISH
Title or Position: CEO
Credential:
Phone: 205-533-8475