Healthcare Provider Details

I. General information

NPI: 1942512892
Provider Name (Legal Business Name): HARBOR HOSPICE OF TEXAS, LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2010
Last Update Date: 07/29/2020
Certification Date: 07/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

425 HOLDERRIETH BLVD STE. 205A
TOMBALL TX
77375-4543
US

IV. Provider business mailing address

3406 COLLEGE ST SUITE 200
BEAUMONT TX
77701-4612
US

V. Phone/Fax

Practice location:
  • Phone: 281-659-0303
  • Fax: 281-659-0306
Mailing address:
  • Phone: 409-813-2332
  • Fax: 409-232-0573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number013609
License Number State

VIII. Authorized Official

Name: KAREN CARTER
Title or Position: CHIEF DATA OFFICER
Credential:
Phone: 409-730-2046