Provider Demographics
NPI:1154695252
Name:HARBOR HOSPICE OF ALEXANDRIA LP
Entity type:Organization
Organization Name:HARBOR HOSPICE OF ALEXANDRIA LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:QAMAR
Authorized Official - Middle Name:U
Authorized Official - Last Name:ARFEEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-813-2232
Mailing Address - Street 1:PO BOX 23077
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77720-3077
Mailing Address - Country:US
Mailing Address - Phone:409-813-2332
Mailing Address - Fax:409-838-7598
Practice Address - Street 1:1407 PETERMAN DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71301-3433
Practice Address - Country:US
Practice Address - Phone:318-442-1491
Practice Address - Fax:318-442-2462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-07
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
19D2039761OtherCLIA
LA366OtherLA DEPARTMENT OF HEALTH & HOSPITALS