MEDICARE: REGINA CAELI 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	:	1821849902
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REGINA CAELI HOSPICE LLC

Provider Business Mailing Address
First Line	:	14803 ROCKWELL BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77085-4113
Country	:	US
Telephone Number	:	281-513-0701
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 WILCREST DR STE 103
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77042-1369
Country	:	US
Telephone Number	:	281-513-0701
Fax Number	:

Authorized Official
Title or Position	:	AMBER
Name	:	REGINA JUGUILON
Credential	:
Telephone Number	:	832-713-9835

Provider Enumeration Date	:	03/28/2024
Last Update Date	:	03/28/2024

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