Champions Serene Comfort Care Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CHAMPIONS SERENE COMFORT CARE HOSPICE LLC

Practice address

12816 Willow Centre Dr Ste E
Houston, TX 77066-3034

Phone

(281) 928-2442

Fax

(281) 919-1124

NPI assigned

Feb 7, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Hina Siddiqui

Title

Administrator

Phone

(281) 928-2442

Specialties & licenses 1

Addresses

Other names 1

• CHAMPIONS SERENE COMFORT CARE HOSPICE Doing business as

Locations

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1912445248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12816 WILLOW CENTRE DR STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770663034",
            "telephone_number": "281-928-2442",
            "fax_number": "281-919-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12816 WILLOW CENTRE DR STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770663034",
            "telephone_number": "281-928-2442",
            "fax_number": "281-919-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPIONS SERENE COMFORT CARE HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "HINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-928-2442",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHAMPIONS SERENE COMFORT CARE HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Feb 7, 2017; 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.