Avatar Hospice & Palliative Care Agency, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

AVATAR HOSPICE & PALLIATIVE CARE AGENCY, LLC

Practice address

25325 Borough Park Dr
Suite #105
Spring, TX 77380-3569

Phone

(281) 703-8050

NPI assigned

Jul 8, 2016

Last updated

Jul 8, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Felix Canabal

Title

Owner

Phone

(281) 703-8050

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1275985715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25325 BOROUGH PARK DR",
            "address_2": "SUITE #105",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803569",
            "telephone_number": "281-703-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25325 BOROUGH PARK DR",
            "address_2": "SUITE #105",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803569",
            "telephone_number": "281-703-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVATAR HOSPICE & PALLIATIVE CARE AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "CANABAL",
        "authorized_official_first_name": "FELIX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-703-8050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.