Provider Demographics
NPI:1346512217
Name:BENEVOLENT HOSPICE OF HOUSTON, LLC
Entity Type:Organization
Organization Name:BENEVOLENT HOSPICE OF HOUSTON, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:210-681-2140
Mailing Address - Street 1:9555 CANTURA CRST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-1719
Mailing Address - Country:US
Mailing Address - Phone:210-681-2140
Mailing Address - Fax:210-681-3148
Practice Address - Street 1:10701 CORPORATE DR STE 356
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-4017
Practice Address - Country:US
Practice Address - Phone:281-302-5994
Practice Address - Fax:832-500-4347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-07
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based