MEDICARE: HEART TO HEART HOSPICE OF WEST HOUSTON 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437532165
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART TO HEART HOSPICE OF WEST HOUSTON LLC

Provider Business Mailing Address
First Line	:	7240 CHASE OAKS BLVD
Second Line	:
City	:	PLANO
State	:	TX
Zip	:	75025-5901
Country	:	US
Telephone Number	:	972-517-6300
Fax Number	:	972-517-6301

Provider Business Practice Location Address
First Line	:	2930 CYPRESS GROVE MEADOWS DRIVE
Second Line	:	SUITE 200
City	:	HOUSTON
State	:	TX
Zip	:	77014-1574
Country	:	US
Telephone Number	:	832-478-5534
Fax Number	:	832-478-5592

Authorized Official
Title or Position	:	CEO
Name	:	KELLY O MITCHELL
Credential	:
Telephone Number	:	972-517-6300

Provider Enumeration Date	:	06/30/2015
Last Update Date	:	12/23/2024

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Directions to “HEART TO HEART HOSPICE OF WEST HOUSTON LLC ” Practice Location

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