HARBOR HOSPICE OF SOUTHEAST HOUSTON, LP (NPI# 1508116963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508116963 |
| Entity Type | Organization |
| Organization Name | HARBOR HOSPICE OF SOUTHEAST HOUSTON, LP |
| Practice Address |
11990 Kirby Dr Houston TX 77045-4860 |
| Mailing Address |
3406 College St # 200 Attn: Licensing & Credentialing Beaumont TX 77701-4612 |
| Practice Telephone | 7134135200 |
| Practice Fax Number | 7134135299 |
| Mailing Telephone | 4098132332 |
| Mailing Fax Number | 4092320573 |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2020-04-20 |
| Authorized Official Name | KAREN CARTER (EXEC ADMIN ASSISTANT) |
| Authorized Official Telephone | 4097302046 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251G00000X | Hospice Care, Community Based | Agencies | ||
| Y | 315D00000X | Hospice, Inpatient | 015201 | TX | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CLIA ID | 45D2051000 | 01 |
| TX | STATE HOSPICE LICENSE | 015201 | 01 |
| MEDICARE PTAN | 67-1774 | 01 |
| Street Address |
11990 KIRBY DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77045-4860 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740822568 | Johnancia Latoya Jnobaptiste | Non-emergency Medical Transport (VAN) | 14010 Buffalo Speedway, Houston, TX 77045 | 2019-10-14 |
| 1407338866 | Maureen Chinyere Onyejiaka | Home Health Aide | 7306 Logcradle Dr, Houston, TX 77045 | 2018-09-02 |
| 1265924344 | Paradigm 7 Pharmacy Pllc | Pharmacy | 12154 Almeda Rd, Houston, TX 77045 | 2018-06-04 |
| 1710408448 | Ultimate Wellness Providers Co | Clinic/Center | 3203 Kelling Street, Houston, TX 77045 | 2017-07-03 |
| 1376086058 | Post Oak Dialysis & Kidney Center | Clinic/Center | 13211 S. Post Oak Rd, Houston, TX 77045 | 2016-11-29 |
| 1841688777 | Gilltop Pharmacy LLC | Pharmacy | 14522 South Post Oak, Ste 108a, Houston, TX 77045 | 2014-12-30 |
| 1699025510 | Anh Phuong Pham | Dentist | 4318 W Fuqua, Houston, TX 77045 | 2012-09-18 |
| 1144520354 | Fostering Opportunities Creating Unlimited Success | Foster Care Agency | 14211 Mccadden, Houston, TX 77045 | 2010-10-22 |
| 1922219351 | A.b. Hurd | Pharmacist | 4420 W. Orem, Suite B, Houston, TX 77045 | 2007-05-25 |
| 1053447607 | Donald Columbus Porter | Dentist | 13324 One Half Almeda Rd, Houston, TX 77045 | 2007-02-26 |
| Find all providers in zip 77045 | ||||
| Taxonomy Code | 315D00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Hospice, Inpatient |
| A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. |
| Notes: Source: AHA Guide, American Hospital Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861794836 | Personal Touch | Hospice, Inpatient | 11722 Flagler St, Houston, TX 77071-3318 | 2010-11-24 |
| 1932223948 | Bering Omega Community Services | Hospice, Inpatient | 602 Branard St, Houston, TX 77006-5020 | 2007-03-16 |
| 1962038059 | Residential Hospice Inc | Hospice, Inpatient | 2922 Rosedale St, Houston, TX 77004-6188 | 2020-03-20 |
| 1518302082 | One Courageous Healthcare Services, Inc. | Hospice, Inpatient | 6666 Harwin Dr., Suite 345, Houston, TX 77036 | 2013-05-09 |
| 1073752101 | Buckner Retirement Services, Inc. | Hospice, Inpatient | 1321 Park Bayou Dr, Houston, TX 77077-1507 | 2009-02-12 |
| 1023099355 | Houston Hospice | Hospice, Inpatient | 1905 Holcombe Blvd, Business Office, Houston, TX 77030-4123 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306477401 | Cross Stone Hospice, LLC | Hospice, Inpatient | 6001 George Bush Dr, Katy, TX 77493-1991 | 2020-01-28 |
| 1356986590 | Zill Holding Inc | Hospice, Inpatient | 415 Woodline Drive, Spring, TX 77386 | 2019-11-12 |
| 1518454719 | Chosen Healthcare Holdings LLC | Hospice, Inpatient | 1575 Redbud Blvd Ste 207, Mckinney, TX 75069-3385 | 2018-04-13 |
| 1295240869 | Outreach Medical Home Health Agency | Hospice, Inpatient | 101 Kenya St Ste 114, Cedar Hill, TX 75104-2806 | 2017-12-05 |
| 1407233091 | Grand Assisted Living | Hospice, Inpatient | 1705 W University Dr Ste 112, Mckinney, TX 75069-3219 | 2015-05-03 |
| 1558751503 | Westside Hospice, Inc | Hospice, Inpatient | 5610 Avis Hill Court, Fulshear, TX 77441 | 2015-01-29 |
| 1538563648 | Brook Ridge Gardens, Lp | Hospice, Inpatient | 1201 West Ridge Road, Pharr, TX 78577 | 2014-10-17 |
| 1205246436 | Valley Hospice LLC | Hospice, Inpatient | 219 N East St, La Feria, TX 78559 | 2014-04-28 |
| 1619397932 | Saint Catherine Hospice Inc. | Hospice, Inpatient | 4229 Glenhaven Drive, Garland, TX 75042 | 2014-04-25 |
| 1588096580 | Cima Hospice of San Antonio | Hospice, Inpatient | 12450 Network Blvd, Suite 300, San Antonio, TX 78249-3341 | 2013-08-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.