Healthcare Provider Details

I. General information

NPI: 1124745708
Provider Name (Legal Business Name): PRIME CHOICE HOSPICE & PALLIATIVE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2022
Last Update Date: 01/26/2023
Certification Date: 01/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6430 RICHMOND AVE STE 250-06
HOUSTON TX
77057-5917
US

IV. Provider business mailing address

27611 FLEETWOOD BEND LN
KATY TX
77494-7641
US

V. Phone/Fax

Practice location:
  • Phone: 832-622-6418
  • Fax:
Mailing address:
  • Phone: 832-729-5637
  • Fax: 713-583-2518

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: ADETUNJI O AKINYINKA
Title or Position: PRESIDENT/CEO
Credential:
Phone: 832-622-6418