MEDICARE: NORTH STAR 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

General Provider Information

NPI Number	:	1477257301
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH STAR HOSPICE LLC

Provider Business Mailing Address
First Line	:	1714 COPRA ST
Second Line	:
City	:	GALVESTON
State	:	TX
Zip	:	77554-6134
Country	:	US
Telephone Number	:	409-539-5634
Fax Number	:

Provider Business Practice Location Address
First Line	:	6012 AVENUE T
Second Line	:
City	:	GALVESTON
State	:	TX
Zip	:	77551-5434
Country	:	US
Telephone Number	:	409-539-5634
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CFO
Name	:	MICHAEL BOONE
Credential	:
Telephone Number	:	409-539-5634

Provider Enumeration Date	:	03/27/2023
Last Update Date	:	02/06/2026

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Directions to “NORTH STAR HOSPICE LLC ” Practice Location

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