MEDICARE: PATMOS 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	163WH1000X	Hospice Registered Nurse

General Provider Information

NPI Number	:	1134763915
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATMOS HOSPICE INC

Provider Business Mailing Address
First Line	:	26717 WESTHEIMER PKWY STE 303
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-8058
Country	:	US
Telephone Number	:	832-248-1323
Fax Number	:	832-743-0048

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	:	832-248-1323
Fax Number	:	832-743-0048

Authorized Official
Title or Position	:	RN
Name	:	GERALDINE NONYE RAPHAEL
Credential	:
Telephone Number	:	832-248-1323

Provider Enumeration Date	:	11/04/2019
Last Update Date	:	01/26/2026

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Directions to “PATMOS HOSPICE INC ” Practice Location

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