Provider Demographics
NPI:1922510312
Name:GREAT AMERICAN PALLIATIVE & HOSPICE CARE LLC
Entity Type:Organization
Organization Name:GREAT AMERICAN PALLIATIVE & HOSPICE CARE LLC
Other - Org Name:NEW DAWN HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NIKKI
Authorized Official - Middle Name:
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-705-8535
Mailing Address - Street 1:2600 S SHORE BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-2944
Mailing Address - Country:US
Mailing Address - Phone:877-466-3932
Mailing Address - Fax:832-284-7072
Practice Address - Street 1:2600 S SHORE BLVD STE 300
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-2944
Practice Address - Country:US
Practice Address - Phone:877-466-3932
Practice Address - Fax:832-284-7072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-25
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
NAOtherNA
TXNAMedicaid