Provider Demographics
NPI:1407345002
Name:AMERIPRO HOSPICE CARE, INC
Entity Type:Organization
Organization Name:AMERIPRO HOSPICE CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMPAGNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-666-7849
Mailing Address - Street 1:929 GRAHAM DR STE A
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-3338
Mailing Address - Country:US
Mailing Address - Phone:832-461-1123
Mailing Address - Fax:832-413-0254
Practice Address - Street 1:929 GRAHAM DR STE A
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-3338
Practice Address - Country:US
Practice Address - Phone:832-461-1123
Practice Address - Fax:832-413-0254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-09
Last Update Date:2023-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based