Provider Demographics
NPI:1295716215
Name:SUNSET HOSPICE INC.
Entity type:Organization
Organization Name:SUNSET HOSPICE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KAMIL
Authorized Official - Middle Name:
Authorized Official - Last Name:KHWAJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-290-7600
Mailing Address - Street 1:17154 N ELDRIDGE PKWY STE B
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-2864
Mailing Address - Country:US
Mailing Address - Phone:281-290-7600
Mailing Address - Fax:281-290-7603
Practice Address - Street 1:17154 N ELDRIDGE PKWY STE B
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77377-2864
Practice Address - Country:US
Practice Address - Phone:281-290-7600
Practice Address - Fax:281-290-7603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-08
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001013116Medicaid
TX001013116Medicaid