Indigo Hospice and Palliative Care LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

INDIGO HOSPICE AND PALLIATIVE CARE LLC

Practice address

7207 Regency Square Blvd Ste 260-26
Houston, TX 77036-3188

Phone

(832) 715-3592

NPI assigned

Aug 15, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maha Tayebelasma

Title

Accountant

Phone

(281) 460-7349

Specialties & licenses 1

Addresses

Other names 2

• INDIGO HOSPICE AND PALLIATIVE CARE LLC Former legal business name
• INDIGO HOSPICE AND PALLITIVE CARE LLC Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1093598971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7207 REGENCY SQUARE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7207 REGENCY SQUARE BLVD STE 260-26",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363188",
            "telephone_number": "832-715-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO HOSPICE AND PALLIATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "TAYEBELASMA",
        "authorized_official_first_name": "MAHA",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "281-460-7349"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INDIGO HOSPICE AND PALLIATIVE CARE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "INDIGO HOSPICE AND PALLITIVE CARE LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.