| Organization Name: | ANGEL HEART HOSPICE, LLC |
| NPI Number: | 1013901719 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JESSICA KLEBERG (VP OF LEGAL AFFAIRS) |
| Mailing Address: | 9430 Research Blvd Bldg. Ii, #100 Austin |
| State: | TX US |
| Postal Code: | 787596586 |
| Phone Number: | 5123428288 |
| Fax Number: | 5123428122 |
| NPI Enumeration Date: | 09/08/2005 |
| NPI Last Update Date: | 03/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 009644 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |