Provider Demographics
NPI:1578508842
Name:HEALTHWISE HOSPICE
Entity Type:Organization
Organization Name:HEALTHWISE HOSPICE
Other - Org Name:RIVER BRAZOS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-279-9284
Mailing Address - Street 1:607 W BROWN ST
Mailing Address - Street 2:
Mailing Address - City:HEARNE
Mailing Address - State:TX
Mailing Address - Zip Code:77859-3018
Mailing Address - Country:US
Mailing Address - Phone:979-279-9284
Mailing Address - Fax:979-279-2032
Practice Address - Street 1:607 W BROWN ST
Practice Address - Street 2:
Practice Address - City:HEARNE
Practice Address - State:TX
Practice Address - Zip Code:77859-3018
Practice Address - Country:US
Practice Address - Phone:979-279-9284
Practice Address - Fax:979-279-2032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based