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General NPI Number Information
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NPI Number | 1497058457
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Entity Type | Organization
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Legal Business Name | ENVOY HOSPICE, LLC
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Dates
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Enumeration Date | 12/14/2010
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 2615 CALDER ST STE 111
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City | BEAUMONT
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State | TX
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Zip | 77702-1936
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Country | US
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Telephone | 409-832-4582
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Fax | 409-832-6345
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Provider Business Mailing Address
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Address Line | 500 FAULCONER DR STE 200
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-5089
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Country | US
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Telephone | 434-977-9711
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Fax | 434-235-4142
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | JESSE R MOORE
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Credential |
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Telephone | 857-331-6271
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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