MEDICARE: EMERALD CARE 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	:	1316669310
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMERALD CARE HOSPICE LLC

Provider Business Mailing Address
First Line	:	4201 FM 1960 RD W STE 555
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-3498
Country	:	US
Telephone Number	:	832-844-2293
Fax Number	:	832-844-2393

Provider Business Practice Location Address
First Line	:	4201 FM 1960 RD W STE 555
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-3498
Country	:	US
Telephone Number	:	832-844-2293
Fax Number	:	832-844-2393

Authorized Official
Title or Position	:	OWNER
Name	:	MANJIT SINGH
Credential	:
Telephone Number	:	832-499-8984

Provider Enumeration Date	:	09/15/2022
Last Update Date	:	07/15/2025

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