Provider Demographics
NPI:1497291678
Name:DIAMOND HOSPICE LLC
Entity Type:Organization
Organization Name:DIAMOND HOSPICE LLC
Other - Org Name:DEVOTION HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-742-1142
Mailing Address - Street 1:610 N LOOP 336 E STE 300
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77301-1437
Mailing Address - Country:US
Mailing Address - Phone:281-742-1142
Mailing Address - Fax:346-998-1442
Practice Address - Street 1:11611 SPRING CYPRESS RD STE B
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77377-8918
Practice Address - Country:US
Practice Address - Phone:281-742-1142
Practice Address - Fax:346-998-1442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-12
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based