Provider Demographics
NPI:1477594810
Name:LIBRA HOSPICE INC.
Entity Type:Organization
Organization Name:LIBRA HOSPICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:UMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:IMARENEZOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-261-6562
Mailing Address - Street 1:440 BENMAR DR
Mailing Address - Street 2:3100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-3165
Mailing Address - Country:US
Mailing Address - Phone:281-261-6562
Mailing Address - Fax:281-403-2072
Practice Address - Street 1:440 BENMAR DR
Practice Address - Street 2:3100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3165
Practice Address - Country:US
Practice Address - Phone:281-261-6562
Practice Address - Fax:281-403-2072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010386251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based