Provider Demographics
NPI:1124405253
Name:EDEN HOSPICE CARE SERVICES, INC.
Entity Type:Organization
Organization Name:EDEN HOSPICE CARE SERVICES, INC.
Other - Org Name:EDEN HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:QUEEN
Authorized Official - Middle Name:OWUNARI
Authorized Official - Last Name:BRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-778-0040
Mailing Address - Street 1:PO BOX 225
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77497-0225
Mailing Address - Country:US
Mailing Address - Phone:281-778-0400
Mailing Address - Fax:281-778-0041
Practice Address - Street 1:2440 TEXAS PKWY STE 260
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-4085
Practice Address - Country:US
Practice Address - Phone:281-778-0040
Practice Address - Fax:281-778-0041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-27
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based