Provider Demographics
NPI:1194815308
Name:RESOLUTIONS HOSPICE LLC
Entity Type:Organization
Organization Name:RESOLUTIONS HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOI
Authorized Official - Middle Name:
Authorized Official - Last Name:BODINE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-384-4207
Mailing Address - Street 1:12600 N FEATHERWOOD DR STE 108
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77034-4452
Mailing Address - Country:US
Mailing Address - Phone:832-588-6083
Mailing Address - Fax:713-383-4447
Practice Address - Street 1:7641 SOUTH FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-5934
Practice Address - Country:US
Practice Address - Phone:832-588-6083
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX014091251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX671722Medicare Oscar/Certification