Provider Demographics
NPI:1831289644
Name:PARAGON HOSPICE MANAGEMENT, LP
Entity Type:Organization
Organization Name:PARAGON HOSPICE MANAGEMENT, LP
Other - Org Name:NEW CENTURY HOSPICE OF HOUSTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DOUG
Authorized Official - Middle Name:
Authorized Official - Last Name:ABELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-664-2876
Mailing Address - Street 1:1 SUGAR CREEK CENTER BLVD
Mailing Address - Street 2:SUITE 330
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3560
Mailing Address - Country:US
Mailing Address - Phone:281-277-1151
Mailing Address - Fax:281-277-1170
Practice Address - Street 1:655 BRAWLEY SCHOOL RD
Practice Address - Street 2:STE 200
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-9125
Practice Address - Country:US
Practice Address - Phone:704-664-2876
Practice Address - Fax:704-664-1306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
67-1590OtherMEDICARE MPN
013945OtherLICENSE
=========OtherEIN