Provider Demographics
NPI:1346589488
Name:ACCORD HOSPICE CARE LLC
Entity Type:Organization
Organization Name:ACCORD HOSPICE CARE LLC
Other - Org Name:EXCELLENCE HOSPICE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:LOZANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-476-0436
Mailing Address - Street 1:1322 SPACE PARK DR STE C130
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77058-3542
Mailing Address - Country:US
Mailing Address - Phone:281-476-0436
Mailing Address - Fax:866-633-3559
Practice Address - Street 1:1322 SPACE PARK DR STE C130
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77058-3542
Practice Address - Country:US
Practice Address - Phone:281-476-0436
Practice Address - Fax:281-677-4238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-09
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
1346589488OtherNPI
TX001028003Medicaid