MEDICARE: 5 STAR HOSPICE, 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

General Provider Information

NPI Number	:	1295361574
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	5 STAR HOSPICE, LLC

Provider Business Mailing Address
First Line	:	4220 CARTWRIGHT RD STE 304
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-5309
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4220 CARTWRIGHT RD STE 304
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-5309
Country	:	US
Telephone Number	:	832-262-1299
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MELISSA D WADE
Credential	:
Telephone Number	:	832-262-1299

Provider Enumeration Date	:	03/18/2020
Last Update Date	:	08/14/2024

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