Healthcare Provider Details

I. General information

NPI: 1154695252
Provider Name (Legal Business Name): HARBOR HOSPICE OF ALEXANDRIA LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2012
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1407 PETERMAN DR
ALEXANDRIA LA
71301-3433
US

IV. Provider business mailing address

PO BOX 23077
BEAUMONT TX
77720-3077
US

V. Phone/Fax

Practice location:
  • Phone: 318-442-1491
  • Fax: 318-442-2462
Mailing address:
  • Phone: 409-813-2332
  • Fax: 409-838-7598

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: QAMAR U ARFEEN
Title or Position: GENERAL PARTNER
Credential: MD
Phone: 409-813-2232