Provider Demographics
NPI:1609356674
Name:NEWMAN MEMORIAL HEALTHCARE HOSPICE LLC
Entity Type:Organization
Organization Name:NEWMAN MEMORIAL HEALTHCARE HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECTOR
Authorized Official - Phone:281-796-2529
Mailing Address - Street 1:1225, 25TH STREET SUITE 300
Mailing Address - Street 2:1225 25TH ST. N, SUITE 300, TEXAS CITY, TEXAS 77590
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77036-7423
Mailing Address - Country:US
Mailing Address - Phone:832-703-0137
Mailing Address - Fax:
Practice Address - Street 1:2600 S SHORE BLVD
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-2943
Practice Address - Country:US
Practice Address - Phone:281-796-2529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-18
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based