Healthcare Provider Details

I. General information

NPI: 1548140254
Provider Name (Legal Business Name): MORNING LIGHT HOSPICE OF DALLAS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2606 GREENLAWN DR
WYLIE TX
75098-8219
US

IV. Provider business mailing address

2606 GREENLAWN DR
WYLIE TX
75098-8219
US

V. Phone/Fax

Practice location:
  • Phone: 214-256-4344
  • Fax: 214-935-8537
Mailing address:
  • Phone: 214-256-4344
  • Fax: 214-935-8537

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code163WH1000X
TaxonomyHospice Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MS. DEJENA LHERISSON-HOWELL
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 469-682-5733