Eternal Light Hospice, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ETERNAL LIGHT HOSPICE, INC

Practice address

14511 Falling Creek Dr Ste 304a
Houston, TX 77014-1282

Phone

(832) 969-0655

NPI assigned

Jan 4, 2021

Last updated

Jan 9, 2024By 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

Norris Ricard

Title

Administrator

Phone

(281) 631-0900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1427646769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14511 FALLING CREEK DR STE 304A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141282",
            "telephone_number": "832-969-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14511 FALLING CREEK DR STE 304A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770141282",
            "telephone_number": "832-969-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNAL LIGHT HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-04",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "RICARD",
        "authorized_official_first_name": "NORRIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-631-0900"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Marie Etcheverry, LCSW
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• Asia Eter, MD
• Eterna Health and Wellness PLLC
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• Katayoun Etessami
• Katherine Etgen, BCBA
• Ethan Truong DDS of Houston PLLC (Longhorn Dental)
• Ethel Row, LLC
• Ethels Special Care

• Community Based Hospice Care Agency in Houston, TX
• Providers in Houston, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.