NPI Code Details Logo

NPI 1265785935

NPI 1265785935 : HARBOR HOSPICE 28, LP : CONROE, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1265785935
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    HARBOR HOSPICE 28, LP 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/18/2012
-----------------------------------------------------
    Last Update Date     |    09/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    2251 N LOOP 336 W STE 2251-C 
-----------------------------------------------------
    City                 |    CONROE
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77304-3575
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    936-441-5500
-----------------------------------------------------
    Fax                  |    936-205-1031
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3406 COLLEGE ST STE 200 
-----------------------------------------------------
    City                 |    BEAUMONT
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77701-4612
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    409-813-2332
-----------------------------------------------------
    Fax                  |    409-232-0573
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    EXEC ADMIN ASSISTANT
-----------------------------------------------------
    Name                 |     KAREN  CARTER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    409-730-2046
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251G00000X
-----------------------------------------------------
    Taxonomy Name        |    Community Based Hospice Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

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