Provider Demographics
NPI:1558988915
Name:COMMUNITY HOSPICE PALLIATIVE, INC.
Entity Type:Organization
Organization Name:COMMUNITY HOSPICE PALLIATIVE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELECHI
Authorized Official - Middle Name:CHUKWYEKE
Authorized Official - Last Name:NWOSU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-929-6722
Mailing Address - Street 1:17130 KILDONAN CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1730
Mailing Address - Country:US
Mailing Address - Phone:214-929-6722
Mailing Address - Fax:
Practice Address - Street 1:17130 KILDONAN CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-1730
Practice Address - Country:US
Practice Address - Phone:214-929-6722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-01
Last Update Date:2020-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based