Provider Demographics
NPI:1821849902
Name:REGINA CAELI HOSPICE LLC
Entity Type:Organization
Organization Name:REGINA CAELI HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBER
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:JUGUILON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-713-9835
Mailing Address - Street 1:14803 ROCKWELL BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77085-4113
Mailing Address - Country:US
Mailing Address - Phone:281-513-0701
Mailing Address - Fax:
Practice Address - Street 1:800 WILCREST DR STE 103
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-1369
Practice Address - Country:US
Practice Address - Phone:281-513-0701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based