MEDICARE: WHITE OAK 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	:	1720606627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHITE OAK HOSPICE LLC

Provider Business Mailing Address
First Line	:	533 HORIZON LIGHT LN
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77493-4635
Country	:	US
Telephone Number	:	713-219-6700
Fax Number	:	713-219-6702

Provider Business Practice Location Address
First Line	:	533 HORIZON LIGHT LN
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77493-4635
Country	:	US
Telephone Number	:	713-219-6700
Fax Number	:	713-219-6702

Authorized Official
Title or Position	:	CEO/DIRECTOR OF NURSING
Name	:	NOE PEREZ
Credential	:	RN
Telephone Number	:	832-970-2500

Provider Enumeration Date	:	07/08/2020
Last Update Date	:	05/09/2024

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