Provider Demographics
NPI:1295620367
Name:GOLDEN ARCH HOSPICE INC
Entity type:Organization
Organization Name:GOLDEN ARCH HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCINNIS GRAYS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-282-1877
Mailing Address - Street 1:700 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:WHARTON
Mailing Address - State:TX
Mailing Address - Zip Code:77488-4028
Mailing Address - Country:US
Mailing Address - Phone:929-282-1877
Mailing Address - Fax:
Practice Address - Street 1:700 WALNUT ST
Practice Address - Street 2:
Practice Address - City:WHARTON
Practice Address - State:TX
Practice Address - Zip Code:77488-4028
Practice Address - Country:US
Practice Address - Phone:929-282-1877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based