Provider Demographics
NPI:1578938254
Name:WHITE ORCHID HOSPICE, LLC
Entity Type:Organization
Organization Name:WHITE ORCHID HOSPICE, LLC
Other - Org Name:WHITE ORCHID HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, PMP
Authorized Official - Phone:281-748-1286
Mailing Address - Street 1:1449 HIGHWAY 6 STE 320
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-5146
Mailing Address - Country:US
Mailing Address - Phone:866-966-2215
Mailing Address - Fax:866-966-5057
Practice Address - Street 1:1449 HIGHWAY 6 STE 320
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-5146
Practice Address - Country:US
Practice Address - Phone:866-966-2215
Practice Address - Fax:866-966-5057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-07
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX017447Medicaid