MEDICARE: CEST LA VIE HOSPICE AND PALLIATIVE CARE, 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

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	:	1871930776
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CEST LA VIE HOSPICE AND PALLIATIVE CARE, INC.

Provider Business Mailing Address
First Line	:	6671 SOUTHWEST FWY STE 310
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-2212
Country	:	US
Telephone Number	:	713-773-2153
Fax Number	:	713-474-1697

Provider Business Practice Location Address
First Line	:	6671 SOUTHWEST FWY STE 310
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-2212
Country	:	US
Telephone Number	:	713-773-2153
Fax Number	:	713-474-1697

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	SERGE UKAWILU
Credential	:
Telephone Number	:	713-408-7722

Provider Enumeration Date	:	05/31/2013
Last Update Date	:	10/17/2023

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