Organization
HARBOR HOSPICE OF SOUTHEAST HOUSTON, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN CARTER (EXEC ADMIN ASSISTANT)
(409) 730-2046
Entity
Organization
Contact information
Practice address
11990 KIRBY DR, HOUSTON, TX 77045-4860
(713) 413-5200
(713) 583-8927
Mailing address
3406 COLLEGE ST # 200, ATTN: LICENSING & CREDENTIALING, BEAUMONT, TX 77701-4612
(409) 813-2332
(409) 232-0573
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
315D00000X
Inpatient Hospice
Primary
015201
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015201
STATE HOSPICE LICENSE
TX
01
—
45D2051000
CLIA ID
TX
01
—
67-1774
MEDICARE PTAN
—
Enumeration date
09/13/2012
Last updated
10/13/2025
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