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NPI Code Detail

MEDICARE: PEACE OF MIND HOSPICE 2, LLC

MEDICARE: PEACE OF MIND HOSPICE 2, 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
1251G00000XCommunity Based Hospice Care AgencyTX

Other Identifiers

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

General Provider Information

NPI Number : 1871098889
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEACE OF MIND HOSPICE 2, LLC
Provider Business Mailing Address
First Line : 19279 MCKAY DR # 808
Second Line :
City : HUMBLE
State : TX
Zip : 77338-5502
Country : US
Telephone Number : 832-617-2718
Fax Number : 713-583-8124
Provider Business Practice Location Address
First Line : 19279 MCKAY DR # 808
Second Line :
City : HUMBLE
State : TX
Zip : 77338-5502
Country : US
Telephone Number : 832-617-2718
Fax Number : 713-583-8124
Authorized Official
Title or Position : CFO
Name : DAVID REDMAN
Credential :
Telephone Number : 832-545-8553
Provider Enumeration Date : 03/30/2018
Last Update Date : 08/18/2022

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Directions to “PEACE OF MIND HOSPICE 2, LLC ” Practice Location

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