MEDICARE: ALL STAR 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	:	1174820252
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALL STAR HOSPICE INC.

Provider Business Mailing Address
First Line	:	9896 BISSONNET
Second Line	:	SUITE 455
City	:	HOUSTON
State	:	TX
Zip	:	77036
Country	:	US
Telephone Number	:	713-988-0600
Fax Number	:	713-988-0602

Provider Business Practice Location Address
First Line	:	9896 BISSONNET ST STE 455
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-8156
Country	:	US
Telephone Number	:	713-988-0600
Fax Number	:	713-988-0602

Authorized Official
Title or Position	:	CEO
Name	:	MRS. CONSTANCE UMEH NNADI
Credential	:	RN
Telephone Number	:	713-988-0600

Provider Enumeration Date	:	02/25/2011
Last Update Date	:	02/25/2011

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