Provider Demographics
NPI:1639894066
Name:ORIGINS HOSPICE INC
Entity Type:Organization
Organization Name:ORIGINS HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:B
Authorized Official - Last Name:ARISE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-410-1013
Mailing Address - Street 1:7322 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 610 ROOM A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2030
Mailing Address - Country:US
Mailing Address - Phone:281-410-1013
Mailing Address - Fax:713-588-8863
Practice Address - Street 1:7322 SOUTHWEST FWY
Practice Address - Street 2:SUITE 610 ROOM A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2030
Practice Address - Country:US
Practice Address - Phone:281-845-1296
Practice Address - Fax:713-588-8863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-07
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty