MEDICARE: COMPASSIONATE CARE HOSPICE OF GALVESTON, 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	:	1598070492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASSIONATE CARE HOSPICE OF GALVESTON, LLC

Provider Business Mailing Address
First Line	:	600 HIGHLAND DR
Second Line	:	SUITE 624
City	:	WESTAMPTON
State	:	NJ
Zip	:	08060-5120
Country	:	US
Telephone Number	:	609-518-6814
Fax Number	:	609-267-3499

Provider Business Practice Location Address
First Line	:	309 FM 517 RD E
Second Line	:
City	:	DICKINSON
State	:	TX
Zip	:	77539-8630
Country	:	US
Telephone Number	:	609-518-6814
Fax Number	:	609-267-3499

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	JUDITH GREY
Credential	:
Telephone Number	:	609-518-6814

Provider Enumeration Date	:	08/16/2010
Last Update Date	:	08/16/2010

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