Provider Demographics
NPI:1124561055
Name:PREMIER HOSPICE LLC
Entity Type:Organization
Organization Name:PREMIER HOSPICE LLC
Other - Org Name:PREMIER HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VARFEETA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIRLEAF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-610-9733
Mailing Address - Street 1:2011 TUCUMCARI DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-2051
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4606 FM 1960 RD W STE 675
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-4629
Practice Address - Country:US
Practice Address - Phone:832-610-9733
Practice Address - Fax:346-998-1662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-25
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based