MEDICARE: SEASONS HOSPICE & PALLIATIVE CARE OF TEXAS-HOUSTON, 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		TX

General Provider Information

NPI Number	:	1104184365
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEASONS HOSPICE & PALLIATIVE CARE OF TEXAS-HOUSTON, LLC

Provider Business Mailing Address
First Line	:	6400 SHAFER CT
Second Line	:	STE 700
City	:	ROSEMONT
State	:	IL
Zip	:	60018-4914
Country	:	US
Telephone Number	:	847-692-1148
Fax Number	:

Provider Business Practice Location Address
First Line	:	10318 LAKE RD STE 102
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-1874
Country	:	US
Telephone Number	:	800-570-8809
Fax Number	:

Authorized Official
Title or Position	:	VP LEGAL
Name	:	HEATHER SISCEL
Credential	:
Telephone Number	:	224-221-0465

Provider Enumeration Date	:	04/25/2012
Last Update Date	:	12/08/2021

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