=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831796341
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CANAAN LAND HOSPICE CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/07/2020
-----------------------------------------------------
Last Update Date | 10/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11111 KATY FWY STE 910
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77079-2119
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 432-698-0722
-----------------------------------------------------
Fax | 346-331-4183
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11111 KATY FWY STE 910
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77079-2119
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 432-698-0722
-----------------------------------------------------
Fax | 346-331-4183
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JANA GABLES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 281-381-9950
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------