Provider Demographics
NPI:1114515657
Name:CAPSTONE HOSPICE, LLC
Entity Type:Organization
Organization Name:CAPSTONE HOSPICE, LLC
Other - Org Name:CAPSTONE HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GOBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-867-7851
Mailing Address - Street 1:17300 JERSEY MEADOW DR STE A
Mailing Address - Street 2:
Mailing Address - City:JERSEY VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:77064-1500
Mailing Address - Country:US
Mailing Address - Phone:281-204-2695
Mailing Address - Fax:281-204-2917
Practice Address - Street 1:17300 JERSEY MEADOW DR STE A
Practice Address - Street 2:
Practice Address - City:JERSEY VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:77064-1500
Practice Address - Country:US
Practice Address - Phone:281-204-2695
Practice Address - Fax:281-204-2917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-08
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based