Provider Demographics
NPI:1235284001
Name:HOSPITALITY HOUSE INC.
Entity Type:Organization
Organization Name:HOSPITALITY HOUSE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SEC., TREAS. ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DUANE
Authorized Official - Middle Name:C
Authorized Official - Last Name:DRAKE
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA- OWNER
Authorized Official - Phone:361-664-4366
Mailing Address - Street 1:PO BOX 1458
Mailing Address - Street 2:
Mailing Address - City:ALICE
Mailing Address - State:TX
Mailing Address - Zip Code:78333-1458
Mailing Address - Country:US
Mailing Address - Phone:361-664-4366
Mailing Address - Fax:361-664-5002
Practice Address - Street 1:218-219 N. KING ST.
Practice Address - Street 2:
Practice Address - City:ALICE
Practice Address - State:TX
Practice Address - Zip Code:78333-1458
Practice Address - Country:US
Practice Address - Phone:361-664-4366
Practice Address - Fax:361-664-5002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4020314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4020Medicaid
TX455455Medicare ID - Type UnspecifiedPROVIDER #
TX=========Medicare UPIN