MEDICARE: RELIABLE 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
1	251G00000X	Community Based Hospice Care Agency	NONE	TX
2	251G00000X	Community Based Hospice Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447758065
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELIABLE HOSPICE LLC

Provider Business Mailing Address
First Line	:	2301 FM 1187
Second Line	:	SUITE 203
City	:	MANSFIELD
State	:	TX
Zip	:	76063-3024
Country	:	US
Telephone Number	:	817-469-6739
Fax Number	:

Provider Business Practice Location Address
First Line	:	1605 7TH ST STE B
Second Line	:
City	:	BAY CITY
State	:	TX
Zip	:	77414-5013
Country	:	US
Telephone Number	:	979-943-2742
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANGELA W EDDINS
Credential	:
Telephone Number	:	817-469-6739

Provider Enumeration Date	:	01/29/2018
Last Update Date	:	10/23/2024

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Directions to “RELIABLE HOSPICE LLC ” Practice Location

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