Healthcare Provider Details

I. General information

NPI: 1427322254
Provider Name (Legal Business Name): HARBOR HOSPICE OF LIVINGSTON LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2012
Last Update Date: 11/29/2021
Certification Date: 11/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 W CHURCH ST STE 112
LIVINGSTON TX
77351-3242
US

IV. Provider business mailing address

PO BOX 12686
BEAUMONT TX
77726-2686
US

V. Phone/Fax

Practice location:
  • Phone: 936-327-8010
  • Fax: 936-205-1392
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 StateTX

VIII. Authorized Official

Name: KAREN K CARTER
Title or Position: EXEC ADMIN ASST
Credential:
Phone: 409-730-2046