Provider Demographics
NPI:1104528785
Name:AMERICAN NATIONAL HOSPICE LLC
Entity type:Organization
Organization Name:AMERICAN NATIONAL HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:RAZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-245-3635
Mailing Address - Street 1:857 TRISTAR DR STE A-2
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-1553
Mailing Address - Country:US
Mailing Address - Phone:832-245-3635
Mailing Address - Fax:
Practice Address - Street 1:857 TRISTAR DR STE A-2
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-1553
Practice Address - Country:US
Practice Address - Phone:832-245-3635
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based