MEDICARE: OPTIMUM HOSPICE

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	:	1902599293
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIMUM HOSPICE

Provider Business Mailing Address
First Line	:	8321 WOODWARD ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77051-1329
Country	:	US
Telephone Number	:	832-207-4016
Fax Number	:	281-783-2282

Provider Business Practice Location Address
First Line	:	8321 WOODWARD ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77051-1329
Country	:	US
Telephone Number	:	832-207-4016
Fax Number	:	281-783-2282

Authorized Official
Title or Position	:	ADMINISRATOR
Name	:	JAMES CLIFFORD WALKER
Credential	:
Telephone Number	:	832-207-4016

Provider Enumeration Date	:	06/01/2023
Last Update Date	:	06/22/2023

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Directions to “OPTIMUM HOSPICE ” Practice Location

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