=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740069640
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ARTEMIS HOSPICE & HOME HEALTH LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/28/2023
-----------------------------------------------------
Last Update Date | 10/25/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3901 ARLINGTON HIGHLANDS BLVD STE 286
-----------------------------------------------------
City | ARLINGTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76018-6036
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-897-3144
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 711 S CEDAR RIDGE DR UNIT 382624
-----------------------------------------------------
City | DUNCANVILLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75138-3709
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-897-3144
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | LELA ROBINSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 214-897-3144
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------