Provider Demographics
NPI:1093488439
Name:JEFFERSON HOSPICE INC
Entity Type:Organization
Organization Name:JEFFERSON HOSPICE INC
Other - Org Name:CONSTELLATION HOSPICE TX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:
Authorized Official - Last Name:STEG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-882-9798
Mailing Address - Street 1:7660 WOODWAY DR STE 538
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-1528
Mailing Address - Country:US
Mailing Address - Phone:713-882-9798
Mailing Address - Fax:888-818-0769
Practice Address - Street 1:7660 WOODWAY DR STE 538
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-1528
Practice Address - Country:US
Practice Address - Phone:713-882-9798
Practice Address - Fax:888-818-0769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-30
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based