Provider Demographics
NPI:1689188948
Name:SPECTRUM HOSPICE, INC.
Entity Type:Organization
Organization Name:SPECTRUM HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:ROY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-874-1234
Mailing Address - Street 1:2922 ROSEDALE ST STE 1110
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-6188
Mailing Address - Country:US
Mailing Address - Phone:713-874-1234
Mailing Address - Fax:713-521-1277
Practice Address - Street 1:2922 ROSEDALE ST STE 1110
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-6188
Practice Address - Country:US
Practice Address - Phone:713-874-1234
Practice Address - Fax:713-521-1277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-24
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based