MEDICARE: FORT BEND HOSPICE AND PALLIATIVE CARE 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	:	1922575422
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FORT BEND HOSPICE AND PALLIATIVE CARE LLC

Provider Business Mailing Address
First Line	:	26717 WESTHEIMER PKWY UNIT 103
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-8058
Country	:	US
Telephone Number	:	832-400-2301
Fax Number	:	832-400-2302

Provider Business Practice Location Address
First Line	:	26717 WESTHEIMER PKWY UNIT 103
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77494-8058
Country	:	US
Telephone Number	:	832-400-2301
Fax Number	:	832-400-2302

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	NNEKA EDOKPAYI
Credential	:	MD
Telephone Number	:	202-492-8519

Provider Enumeration Date	:	11/01/2018
Last Update Date	:	12/07/2022

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