NPI Code Details Logo

NPI 1023099355

NPI 1023099355 : HOUSTON HOSPICE : HOUSTON, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1023099355
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    HOUSTON HOSPICE 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/14/2005
-----------------------------------------------------
    Last Update Date     |    08/21/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1905 HOLCOMBE BLVD BUSINESS OFFICE
-----------------------------------------------------
    City                 |    HOUSTON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77030-4123
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    713-467-7423
-----------------------------------------------------
    Fax                  |    713-677-7115
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1905 HOLCOMBE BLVD BUSINESS OFFICE
-----------------------------------------------------
    City                 |    HOUSTON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77030-4123
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    713-467-7423
-----------------------------------------------------
    Fax                  |    713-677-7115
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    VP OF FINANCE/CFO
-----------------------------------------------------
    Name                 |    MRS. CHRISTINE V BLACKMON 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    713-677-7138
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    315D00000X
-----------------------------------------------------
    Taxonomy Name        |    Inpatient Hospice
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    251G00000X
-----------------------------------------------------
    Taxonomy Name        |    Community Based Hospice Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    TX
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.