Provider Demographics
NPI:1003077967
Name:COMMUNITY HEALTH RESOURCE GROUP, L.L.C.
Entity Type:Organization
Organization Name:COMMUNITY HEALTH RESOURCE GROUP, L.L.C.
Other - Org Name:CIRCLE OF CARE HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:S
Authorized Official - Last Name:PITTS
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN
Authorized Official - Phone:281-251-4979
Mailing Address - Street 1:8202 KNURLED OAK LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-3963
Mailing Address - Country:US
Mailing Address - Phone:281-251-4979
Mailing Address - Fax:281-655-5015
Practice Address - Street 1:8202 KNURLED OAK LN
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3963
Practice Address - Country:US
Practice Address - Phone:281-251-4979
Practice Address - Fax:281-655-5015
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COMMUNITY HEALTH RESOURCE GROUP, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-23
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX608309251B00000X
251G00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive Care