MEDICARE: HOSPICE CARE TEAM, INC

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	007658	TX

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	:	1184626467
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOSPICE CARE TEAM, INC

Provider Business Mailing Address
First Line	:	107 WEST WAY
Second Line	:	SUITE 29
City	:	LAKE JACKSON
State	:	TX
Zip	:	77566-5238
Country	:	US
Telephone Number	:	979-297-6043
Fax Number	:	979-297-4752

Provider Business Practice Location Address
First Line	:	107 WEST WAY
Second Line	:	SUITE 29
City	:	LAKE JACKSON
State	:	TX
Zip	:	77566-5238
Country	:	US
Telephone Number	:	979-297-6043
Fax Number	:	979-297-4752

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DEBORAH K PERRYMAN
Credential	:	LMSW
Telephone Number	:	979-297-6043

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	09/03/2008

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