MEDICARE: GALVESTON HOSPICE CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1033876735
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GALVESTON HOSPICE CARE LLC

Provider Business Mailing Address
First Line	:	26717 WESTHEIMER PKWY STE 303
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-8058
Country	:	US
Telephone Number	:	346-661-0358
Fax Number	:	832-307-1011

Provider Business Practice Location Address
First Line	:	26717 WESTHEIMER PKWY STE 303
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-8058
Country	:	US
Telephone Number	:	346-661-0358
Fax Number	:	832-307-1011

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MARIA CERISSE MOLATO-OLILA
Credential	:
Telephone Number	:	346-661-0358

Provider Enumeration Date	:	11/17/2021
Last Update Date	:	08/20/2024

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