1588832034 NPI number — SILVERADO HOSPICE OF HOUSTON, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588832034 NPI number — SILVERADO HOSPICE OF HOUSTON, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SILVERADO HOSPICE OF HOUSTON, INC
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:
6
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:
1588832034
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/30/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6400 OAK CANYON
Provider Second Line Business Mailing Address:
200
Provider Business Mailing Address City Name:
IRVINE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92618-5233
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
949-240-7200
Provider Business Mailing Address Fax Number:
949-930-4014

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4800 SUGAR GROVE BLVD
Provider Second Line Business Practice Location Address:
390
Provider Business Practice Location Address City Name:
STAFFORD
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77477
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-565-2900
Provider Business Practice Location Address Fax Number:
281-565-2901
Provider Enumeration Date:
02/19/2008

Additional Information

Authorized Official

Authorized Official Last Name:
SWEETSER
Authorized Official First Name:
CHRISTIAN
Authorized Official Middle Name:
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
949-240-7200

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251G00000X , with the licence number: 013822 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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