MEDICARE: DIVINE PALLIATIVE HOSPICE CARE 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	:	1356106371
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIVINE PALLIATIVE HOSPICE CARE INC

Provider Business Mailing Address
First Line	:	9119 S GESSNER RD STE 103
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-2845
Country	:	US
Telephone Number	:	346-718-2037
Fax Number	:	346-718-2002

Provider Business Practice Location Address
First Line	:	9119 S GESSNER RD STE 103
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-2845
Country	:	US
Telephone Number	:	346-718-2037
Fax Number	:	346-718-2002

Authorized Official
Title or Position	:	CEO
Name	:	FLORA UCHEA
Credential	:
Telephone Number	:	832-531-5935

Provider Enumeration Date	:	02/19/2024
Last Update Date	:	02/16/2026

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