Provider Demographics
NPI:1114590304
Name:HUDSON PALLIATIVE & HOSPICE CARE, LLC
Entity Type:Organization
Organization Name:HUDSON PALLIATIVE & HOSPICE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOHNSON
Authorized Official - Middle Name:
Authorized Official - Last Name:AMBROISE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-775-8143
Mailing Address - Street 1:9896 BISSONNET ST STE 220
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8152
Mailing Address - Country:US
Mailing Address - Phone:832-775-8143
Mailing Address - Fax:
Practice Address - Street 1:9896 BISSONNET ST STE 220
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8152
Practice Address - Country:US
Practice Address - Phone:832-775-8143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-23
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based