Provider Demographics
NPI:1679068654
Name:CEDAR HOSPICE INC.
Entity Type:Organization
Organization Name:CEDAR HOSPICE INC.
Other - Org Name:REAL COMFORT CARE LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NWANNEOMA
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:NDUBISI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-310-7169
Mailing Address - Street 1:12808 W AIRPORT BLVD STE 289
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-6244
Mailing Address - Country:US
Mailing Address - Phone:281-302-5812
Mailing Address - Fax:713-234-7465
Practice Address - Street 1:25145 STAR LN STE 205
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-7087
Practice Address - Country:US
Practice Address - Phone:346-667-3576
Practice Address - Fax:866-635-3457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-22
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care