MEDICARE: PRECOR 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	:	1134994031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECOR HOSPICE INC.

Provider Business Mailing Address
First Line	:	3350 MCFADDIN ST STE 1
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77706-5037
Country	:	US
Telephone Number	:	409-402-0158
Fax Number	:	409-403-8540

Provider Business Practice Location Address
First Line	:	3350 MCFADDIN ST STE 1
Second Line	:
City	:	BEAUMONT
State	:	TX
Zip	:	77706-5037
Country	:	US
Telephone Number	:	409-402-0158
Fax Number	:	409-403-8540

Authorized Official
Title or Position	:	VP
Name	:	JASON CAMPBELL
Credential	:
Telephone Number	:	713-550-2547

Provider Enumeration Date	:	11/20/2023
Last Update Date	:	03/10/2026

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