1891031886 NPI number — HARBOR HOSPICE OF SOUTH TEXAS LP

Table of content: (NPI 1891031886)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891031886 NPI number — HARBOR HOSPICE OF SOUTH TEXAS LP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARBOR HOSPICE OF SOUTH TEXAS LP
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891031886
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/12/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3406 COLLEGE ST STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BEAUMONT
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77701-4612
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
409-813-2332
Provider Business Mailing Address Fax Number:
409-838-7598

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6521 N 10TH ST STE E2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MCALLEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78504-3205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-800-4977
Provider Business Practice Location Address Fax Number:
956-800-4979
Provider Enumeration Date:
12/18/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ARFEEN
Authorized Official First Name:
QAMAR
Authorized Official Middle Name:
U
Authorized Official Title or Position:
PARTNER
Authorized Official Telephone Number:
409-813-2332

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)