MEDICARE: APOLLO 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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1093467029
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APOLLO HOSPICE INC

Provider Business Mailing Address
First Line	:	15022 FM 529 RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-3248
Country	:	US
Telephone Number	:	346-395-0480
Fax Number	:

Provider Business Practice Location Address
First Line	:	15022 FM 529 RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77095-3248
Country	:	US
Telephone Number	:	346-395-0480
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	FASINEH SAMURA
Credential	:
Telephone Number	:	346-395-0480

Provider Enumeration Date	:	01/20/2022
Last Update Date	:	01/20/2022

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Directions to “APOLLO HOSPICE INC ” Practice Location

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