Healthcare Provider Details

I. General information

NPI: 1568309847
Provider Name (Legal Business Name): RAFIKI-VISION5 HOSPICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21507 MONTERRICO BAY DR
CYPRESS TX
77433-3493
US

IV. Provider business mailing address

21507 MONTERRICO BAY DR
CYPRESS TX
77433-3493
US

V. Phone/Fax

Practice location:
  • Phone: 832-881-9454
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: GLADYS JEPKOECH
Title or Position: ALT. ADMINISTRATOR
Credential:
Phone: 832-881-9454