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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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