MEDICARE: CEDAR HOSPICE INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251J00000X	Nursing Care Agency
2	251E00000X	Home Health Agency
3	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1679068654
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CEDAR HOSPICE INC.

Provider Business Mailing Address
First Line	:	12808 W AIRPORT BLVD STE 289
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77478-6244
Country	:	US
Telephone Number	:	281-302-5812
Fax Number	:	713-234-7465

Provider Business Practice Location Address
First Line	:	25145 STAR LN STE 205
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-7087
Country	:	US
Telephone Number	:	346-667-3576
Fax Number	:	866-635-3457

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	NWANNEOMA PATRICIA NDUBISI
Credential	:
Telephone Number	:	281-310-7169

Provider Enumeration Date	:	06/22/2018
Last Update Date	:	05/09/2024

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Directions to “CEDAR HOSPICE INC. ” Practice Location

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