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NPI Code Detail

MEDICARE: ENVISION HOSPICE LLC

MEDICARE: ENVISION HOSPICE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care Agency

General Provider Information

NPI Number : 1083980718
Entity Type Code : Organization
Provider Name (Legal Business Name) : ENVISION HOSPICE LLC
Provider Business Mailing Address
First Line : 730 E GRUBB DR
Second Line :
City : MESQUITE
State : TX
Zip : 75149-7502
Country : US
Telephone Number : 214-450-4306
Fax Number : 972-285-7296
Provider Business Practice Location Address
First Line : 730 E GRUBB DR
Second Line :
City : MESQUITE
State : TX
Zip : 75149-7502
Country : US
Telephone Number : 214-450-4306
Fax Number : 972-285-7296
Authorized Official
Title or Position : OWNER/ADMINISTRATOR
Name : MR. BOBBY SAMUEL KOSHY
Credential :
Telephone Number : 214-450-4306
Provider Enumeration Date : 03/27/2012
Last Update Date : 01/29/2026

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Directions to “ENVISION HOSPICE LLC ” Practice Location

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