Organization
HAVEN HOSPICE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY MBAM NP (OWNER/CEO)
(347) 316-7396
Entity
Organization
Contact information
Practice address
30218 CASCADING BROOK WAY, BROOKSHIRE, TX 77423-2786
(347) 316-7396
Mailing address
30218 CASCADING BROOK WAY, BROOKSHIRE, TX 77423-2786
(347) 316-7396
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
MEDICARE PART A
—
Enumeration date
06/21/2022
Last updated
07/12/2022
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