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ANGEL HOME HOSPICE LLC NPI 1861668014


NPI Information

NPI: 1861668014
Provider Name: ANGEL HOME HOSPICE LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 45D1079044

Address:
4501 CARTWRIGHT RD
SUITE#102
MISSOURI CITY, TX
ZIP 77459
Phone: (281) 969-7043
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ANGEL HOME HOSPICE LLC is a hospice care community based in Missouri City, TX. ANGEL HOME HOSPICE LLC NPI is 1861668014. The provider is registered as an organization entity type.

The provider's business location address is:

4501 CARTWRIGHT RD
SUITE#102
MISSOURI CITY, TX
ZIP 77459-534
Phone: (281) 969-7043

The provider's authorized official is Omana Cherukara Simon .
The authorized official title is Administrator and has the following contact phone number (281) 969-7043.

The CLIA number assigned to this NPI record is 45D1079044 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/7/2008 and was last updated on 4/9/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251G00000XHospice Care, Community Based011910TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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