Basic Information
Provider Information | |||||||||
NPI: | 1164878187 | ||||||||
EntityType: | 2 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: | HOSPICE PARTNERS OF AMERICA HOLDING, LLC | ||||||||
LastName: |   | ||||||||
FirstName: |   | ||||||||
MiddleName: |   | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: |   | ||||||||
OtherOrganizationName: | ALAMO HOSPICE OF CONROE | ||||||||
OtherOrganizationType: | 3 | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 3021 LORNA RD | ||||||||
Address2: | SUITE 200 | ||||||||
City: | BIRMINGHAM | ||||||||
State: | AL | ||||||||
PostalCode: | 352164587 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 2055337216 | ||||||||
FaxNumber: | 2055882134 | ||||||||
Practice Location | |||||||||
Address1: | 2040 N LOOP 336 W | ||||||||
Address2: | SUITE 324 | ||||||||
City: | CONROE | ||||||||
State: | TX | ||||||||
PostalCode: | 773043500 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 9367885900 | ||||||||
FaxNumber: | 9367885902 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 05/09/2016 | ||||||||
LastUpdateDate: | 04/25/2022 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: |   | ||||||||
AuthorizedOfficialLastName: | ENGLISH | ||||||||
AuthorizedOfficialFirstName: | NORMA | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: | VP OF HOSPICE | ||||||||
AuthorizedOfficialTelephone: | 2055338475 | ||||||||
IsSoleProprietor: |   | ||||||||
IsOrganizationSubpart: | N | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 04/25/2022 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251G00000X | 671619 | TX | Y |   | Agencies | Hospice Care, Community Based |   |
No ID Information.