Provider Demographics
NPI:1417228826
Name:PROMISE TRAILS HOSPICE
Entity Type:Organization
Organization Name:PROMISE TRAILS HOSPICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIMMER-RAY
Authorized Official - Suffix:
Authorized Official - Credentials:MA COUNSELING, MED
Authorized Official - Phone:713-528-8100
Mailing Address - Street 1:2207 BLODGETT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-5217
Mailing Address - Country:US
Mailing Address - Phone:713-528-8100
Mailing Address - Fax:713-528-8105
Practice Address - Street 1:2207 BLODGETT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-5217
Practice Address - Country:US
Practice Address - Phone:713-528-8100
Practice Address - Fax:713-528-8105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-17
Last Update Date:2012-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based