=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093488439
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JEFFERSON HOSPICE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/30/2021
-----------------------------------------------------
Last Update Date | 12/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7660 WOODWAY DR STE 538
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77063-1533
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-882-9798
-----------------------------------------------------
Fax | 888-818-0769
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 14 WESTPORT AVE
-----------------------------------------------------
City | NORWALK
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06851-3915
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-882-9798
-----------------------------------------------------
Fax | 888-818-0769
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO/AUTHORIZED OFFICIAL
-----------------------------------------------------
Name | YITZCHOK STEG
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 888-895-7695
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------