Provider Demographics
NPI:1417937806
Name:IPH HOSPICE CARE INC
Entity Type:Organization
Organization Name:IPH HOSPICE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-529-2500
Mailing Address - Street 1:190 ABNER JACKSON PARKWAY
Mailing Address - Street 2:SUITE 220
Mailing Address - City:LAKE JACKSON
Mailing Address - State:TX
Mailing Address - Zip Code:77566
Mailing Address - Country:US
Mailing Address - Phone:979-529-2500
Mailing Address - Fax:979-529-9866
Practice Address - Street 1:190 ABNER JACKSON PKWY STE 220
Practice Address - Street 2:SUITE 220
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-5170
Practice Address - Country:US
Practice Address - Phone:979-529-2500
Practice Address - Fax:979-529-9866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-20
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001013404Medicaid
TX451784Medicare Oscar/Certification
TX451784Medicare Oscar/Certification