Provider Demographics
NPI:1639806318
Name:PEACEFUL BRIDGE HOSPICE 3, INC.
Entity Type:Organization
Organization Name:PEACEFUL BRIDGE HOSPICE 3, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:EMAMI
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:281-414-2141
Mailing Address - Street 1:1610 BLODGETT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-5017
Mailing Address - Country:US
Mailing Address - Phone:281-414-2141
Mailing Address - Fax:832-582-5991
Practice Address - Street 1:1610 BLODGETT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-5017
Practice Address - Country:US
Practice Address - Phone:281-414-2141
Practice Address - Fax:832-582-5991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based