Provider Demographics
NPI:1164878187
Name:HOSPICE PARTNERS OF AMERICA HOLDING, LLC
Entity Type:Organization
Organization Name:HOSPICE PARTNERS OF AMERICA HOLDING, LLC
Other - Org Name:ALAMO HOSPICE OF CONROE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OF HOSPICE
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGLISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-533-8475
Mailing Address - Street 1:6303 COWBOYS WAY STE 600
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-0329
Mailing Address - Country:US
Mailing Address - Phone:469-535-8200
Mailing Address - Fax:205-588-2134
Practice Address - Street 1:2040 N LOOP 336 W
Practice Address - Street 2:SUITE 324
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-3500
Practice Address - Country:US
Practice Address - Phone:936-788-5900
Practice Address - Fax:936-788-5902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-09
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX671619251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001020192Medicaid
TX671619Medicare Oscar/Certification