=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093527426
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALCHEMY HOSPICE & PALLIATIVE CARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/22/2025
-----------------------------------------------------
Last Update Date | 03/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1828 MEADOW TRAIL LN
-----------------------------------------------------
City | AUBREY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76227-1446
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-227-9777
-----------------------------------------------------
Fax | 214-291-9575
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1828 MEADOW TRAIL LN
-----------------------------------------------------
City | AUBREY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76227-1446
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-227-9777
-----------------------------------------------------
Fax | 214-291-9575
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | WESLY CHERIAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 214-227-9777
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------