Provider Demographics
NPI:1891088993
Name:WEST HOUSTON HOSPICE CARE
Entity Type:Organization
Organization Name:WEST HOUSTON HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-545-8646
Mailing Address - Street 1:7223 GRANTS HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3992
Mailing Address - Country:US
Mailing Address - Phone:832-545-8646
Mailing Address - Fax:281-239-8500
Practice Address - Street 1:7223 GRANTS HOLLOW LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-3992
Practice Address - Country:US
Practice Address - Phone:832-545-8646
Practice Address - Fax:281-239-8500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-23
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization