Provider Demographics
NPI:1548557101
Name:HARBOR HOSPICE OF CORPUS CHRISTI
Entity Type:Organization
Organization Name:HARBOR HOSPICE OF CORPUS CHRISTI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ADMIN ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-730-2046
Mailing Address - Street 1:PO BOX 12686
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77726-2686
Mailing Address - Country:US
Mailing Address - Phone:409-813-2332
Mailing Address - Fax:409-838-7598
Practice Address - Street 1:5151 FLYNN PKWY STE 511
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4372
Practice Address - Country:US
Practice Address - Phone:361-452-3592
Practice Address - Fax:361-452-1606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-05
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX014381OtherTXDADS
TX014381OtherTXDADS