Providence Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

PROVIDENCE HOSPICE CARE INC

Practice address

7211 Pavilion Dr
Houston, TX 77083-6924

Phone

(281) 369-4722

Fax

(281) 369-4722

NPI assigned

Dec 8, 2021

Organization subpart

No

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

Authorized official

Name

Michael Mbah

Title

Cfo

Phone

(281) 369-4722

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1629737531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 PAVILION DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 PAVILION DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770836924",
            "telephone_number": "281-369-4722",
            "fax_number": "281-369-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "MBAH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "281-369-4722"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Providence ER of Northwest PLLC (Cypress Creek ER)
• Providence Everly Haven Home Healthcare, LLC
• Providence Family Practice PA
• Providence Healthcare of TX (PHT Heal)
• Providence Home Dialysis LLC
• Providence Hospital of North Houston LLC
• Providence Pharmacy & Medical Supplies, Inc. (Providence Pharmacy)
• Providence Physician Associates (Brazos Urgent Care)
• Providence RX Pharmacy LLC
• Providence Total Care LLC

• 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 Dec 8, 2021; 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.