Provider Demographics
NPI:1609207315
Name:SEVEN STARS HOSPICE INC
Entity Type:Organization
Organization Name:SEVEN STARS HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THUREIYYA
Authorized Official - Middle Name:K
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-635-3079
Mailing Address - Street 1:1611 OVERING ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-3006
Mailing Address - Country:US
Mailing Address - Phone:718-823-5462
Mailing Address - Fax:
Practice Address - Street 1:5402 HOLLY VIEW DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-2720
Practice Address - Country:US
Practice Address - Phone:888-635-3079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-05
Last Update Date:2013-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based