Provider Demographics
NPI:1528374261
Name:COMPASSIONATE CARE HOSPICE OF THE WOODLANDS, LLC
Entity Type:Organization
Organization Name:COMPASSIONATE CARE HOSPICE OF THE WOODLANDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JUDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:GREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-518-6814
Mailing Address - Street 1:600 HIGHLAND DR
Mailing Address - Street 2:SUITE 624
Mailing Address - City:WESTAMPTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-5120
Mailing Address - Country:US
Mailing Address - Phone:609-518-6814
Mailing Address - Fax:609-267-3499
Practice Address - Street 1:200 VALLEY WOOD DR
Practice Address - Street 2:SUITE A450
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3571
Practice Address - Country:US
Practice Address - Phone:609-518-6814
Practice Address - Fax:609-267-3499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-19
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based