Provider Demographics
NPI:1407114093
Name:P&J HEALTHCARE SYSTEM, INC.
Entity Type:Organization
Organization Name:P&J HEALTHCARE SYSTEM, INC.
Other - Org Name:ANCHOR HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KINNARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-772-9129
Mailing Address - Street 1:3100 TIMMONS LN STE 265
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-5964
Mailing Address - Country:US
Mailing Address - Phone:877-296-3840
Mailing Address - Fax:877-297-0294
Practice Address - Street 1:3100 TIMMONS LN STE 265
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-5964
Practice Address - Country:US
Practice Address - Phone:877-296-3840
Practice Address - Fax:877-297-0294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-02
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX017672251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based