Provider Demographics
NPI:1063801256
Name:LIFEPOINTE HOSPICE LLC
Entity type:Organization
Organization Name:LIFEPOINTE HOSPICE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-731-2893
Mailing Address - Street 1:12425 ISLAND DR
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-9093
Mailing Address - Country:US
Mailing Address - Phone:281-731-2893
Mailing Address - Fax:281-501-1896
Practice Address - Street 1:13201 NORTHWEST FWY STE 670
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-6008
Practice Address - Country:US
Practice Address - Phone:281-731-2893
Practice Address - Fax:281-501-1896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-12
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based