Provider Demographics
NPI:1235628629
Name:PNC PALLIATIVE HOSPICE LLC
Entity Type:Organization
Organization Name:PNC PALLIATIVE HOSPICE LLC
Other - Org Name:PNC HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-974-2075
Mailing Address - Street 1:8321 WOODWARD ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77051-1329
Mailing Address - Country:US
Mailing Address - Phone:281-974-2075
Mailing Address - Fax:
Practice Address - Street 1:8321 WOODWARD ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77051-1329
Practice Address - Country:US
Practice Address - Phone:281-974-2075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-01
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based