Provider Demographics
NPI:1306477401
Name:CROSS STONE HOSPICE, LLC
Entity type:Organization
Organization Name:CROSS STONE HOSPICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:KRISTOPHER
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:DUSEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-553-1321
Mailing Address - Street 1:750 CREEL CREEK RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78624-7087
Mailing Address - Country:US
Mailing Address - Phone:830-997-1033
Mailing Address - Fax:
Practice Address - Street 1:6001 GEORGE BUSH DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-1991
Practice Address - Country:US
Practice Address - Phone:713-553-1321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-28
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient