Provider Demographics
NPI:1679221659
Name:RISING ANGELS PALLIATIVE AND HOSPICE LLC
Entity Type:Organization
Organization Name:RISING ANGELS PALLIATIVE AND HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:INGRID
Authorized Official - Middle Name:
Authorized Official - Last Name:LEAVITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-827-3294
Mailing Address - Street 1:5829 W SAM HOUSTON PKWY N STE 706B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77041-4740
Mailing Address - Country:US
Mailing Address - Phone:832-827-3294
Mailing Address - Fax:832-968-6692
Practice Address - Street 1:5829 W SAM HOUSTON PKWY N STE 706B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041-4740
Practice Address - Country:US
Practice Address - Phone:832-827-3294
Practice Address - Fax:832-968-6692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-17
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based