Organization
HARBOR HOSPICE OF AUSTIN LP
Active
Organization
HARBOR HOSPICE OF AUSTIN LP
Active
Other names
BEACON HOSPICE OF AUSTIN
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN CARTER (EXEC ADMIN ASST)
(409) 730-2046
Entity
Organization
Contact information
Practice address
16165 RANCH ROAD 620 N, AUSTIN, TX 78717-5088
(512) 443-7100
(512) 443-7109
Mailing address
3406 COLLEGE ST, SUITE 200, BEAUMONT, TX 77701-4612
(409) 813-2332
(409) 232-0573
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
011306
TX
251G00000X
Community Based Hospice Care Agency
Primary
671630
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001018868
—
TX
01
—
011306
TXDADS
TX
01
—
45D1066165
CLIA CERTIFICATE OF WAIVER
—
01
—
671630
MEDICARE CCN
—
Enumeration date
03/15/2007
Last updated
12/16/2024
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