Provider Demographics
NPI:1982249520
Name:MOMENTS HOSPICE & PALLIATIVE CARE INC
Entity Type:Organization
Organization Name:MOMENTS HOSPICE & PALLIATIVE CARE INC
Other - Org Name:MOMENTS HOSPICE AND PALLIATIVE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/DON
Authorized Official - Prefix:
Authorized Official - First Name:VANESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-301-0641
Mailing Address - Street 1:13015 FRANK LN
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-4511
Mailing Address - Country:US
Mailing Address - Phone:281-301-0641
Mailing Address - Fax:281-301-1462
Practice Address - Street 1:13015 FRANK LN
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-4511
Practice Address - Country:US
Practice Address - Phone:281-301-0641
Practice Address - Fax:281-301-1462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-07
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based