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Organization

VANTAGE HOSPICE, LLC

Active
Other names
Vantage Hospice
Organization subpart
No

Provider details

NPI number
Authorized official
PAUL STAMATIS JR. (PRESIDENT & CFO)
(281) 578-4905
Entity
Organization

Contact information

Practice address
5718 WESTHEIMER RD STE 1650, HOUSTON, TX 77057-5833
(281) 579-5660
(281) 579-5661
Mailing address
5718 WESTHEIMER RD STE 1650, HOUSTON, TX 77057-5833
(281) 579-5660
(281) 579-5661

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001020443
LTCMI
TX
05
001020443
TX
Enumeration date
09/28/2011
Last updated
11/30/2023
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