VANTAGE HOSPICE LLC NPI 1962785782

NPI Information

NPI: 1962785782
Provider Name: VANTAGE HOSPICE, LLC

Doing Business As: VANTAGE HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 45D2019861

Address:
5718 WESTHEIMER RD STE 1650
HOUSTON, TX
ZIP 77057
Phone: (281) 579-5660
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VANTAGE HOSPICE, LLC is a hospice care community based in Houston, TX. VANTAGE HOSPICE, LLC NPI is 1962785782. The provider is registered as an organization entity type.
The provider Is Doing Business As Vantage Hospice.

The provider's business location address is:

5718 WESTHEIMER RD STE 1650
HOUSTON, TX
ZIP 77057-833
Phone: (281) 579-5660
Fax: (281) 579-5661

The provider's authorized official is Paul Stamatis .
The authorized official title is President & Cfo and has the following contact phone number (281) 578-4905.

The CLIA number assigned to this NPI record is 45D2019861 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2011 and was last updated on 11/30/2023.

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
1	251G00000X	Hospice Care, Community Based				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	001020443	OTHER	TEXAS	LTCMI
2	001020443	MEDICAID	TEXAS

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

NPI Synchronization or Removal

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