MEDICARE: AMBIENT HOSPICE INC

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	315D00000X	Inpatient Hospice
2	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1073117446
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMBIENT HOSPICE INC

Provider Business Mailing Address
First Line	:	8303 SOUTHWEST FWY STE 150
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1650
Country	:	US
Telephone Number	:	713-715-7047
Fax Number	:	713-715-7044

Provider Business Practice Location Address
First Line	:	8303 SOUTHWEST FWY STE 150
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1650
Country	:	US
Telephone Number	:	713-715-7047
Fax Number	:	713-715-7044

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. EBERE ISIGUZO
Credential	:
Telephone Number	:	713-715-7047

Provider Enumeration Date	:	11/25/2020
Last Update Date	:	08/20/2024

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Directions to “AMBIENT HOSPICE INC ” Practice Location

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