Provider Demographics
NPI:1952098709
Name:IV RX HOSPICE CARE LLC
Entity Type:Organization
Organization Name:IV RX HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-761-8483
Mailing Address - Street 1:13414 MEDICAL COMPLEX DR STE 12
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-3334
Mailing Address - Country:US
Mailing Address - Phone:832-296-7902
Mailing Address - Fax:
Practice Address - Street 1:13414 MEDICAL COMPLEX DR STE 12
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-3334
Practice Address - Country:US
Practice Address - Phone:832-296-7902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based