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: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 S GESSNER RD STE 125
HOUSTON TX
77063-5139
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 TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
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