Organization
HARBOR HOSPICE OF HOUSTON, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN CARTER (EXEC ADMIN ASSTS)
(409) 730-2046
Entity
Organization
Contact information
Practice address
1322 SPACE PARK DR STE C285, HOUSTON, TX 77058-3480
(281) 461-6109
(281) 461-6038
Mailing address
3406 COLLEGE ST # 200, BEAUMONT, TX 77701-4612
(409) 813-2332
(409) 232-0573
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
14077
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01026079
—
TX
01
—
14077
TDADS LICENSE
TX
01
—
45D2027431
CLIA
—
01
—
67-1745
MEDICARE CCN
—
Enumeration date
03/29/2011
Last updated
10/14/2024
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