Provider Demographics
NPI:1003530031
Name:ADOM HOSPICE COMPANY, LLC
Entity Type:Organization
Organization Name:ADOM HOSPICE COMPANY, LLC
Other - Org Name:ADOM HOSPICE COMPANY, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/NURSE
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:OKYERE
Authorized Official - Suffix:
Authorized Official - Credentials:RN CNP
Authorized Official - Phone:832-875-6054
Mailing Address - Street 1:10800 GOSLING RD
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77393-4001
Mailing Address - Country:US
Mailing Address - Phone:713-969-7789
Mailing Address - Fax:
Practice Address - Street 1:16903 RED OAK DR STE 208
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3991
Practice Address - Country:US
Practice Address - Phone:713-969-7789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-03
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX021432OtherLICENSES