Provider Demographics
NPI:1306480694
Name:INNOVISION HOSPICE CARE, INC.
Entity type:Organization
Organization Name:INNOVISION HOSPICE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SALEEM
Authorized Official - Middle Name:B
Authorized Official - Last Name:SHAKOOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-866-8745
Mailing Address - Street 1:9900 WESTPARK DR STE 275
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-5285
Mailing Address - Country:US
Mailing Address - Phone:832-582-8980
Mailing Address - Fax:832-582-8649
Practice Address - Street 1:9900 WESTPARK DR STE 275
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-5285
Practice Address - Country:US
Practice Address - Phone:832-582-8980
Practice Address - Fax:832-582-8649
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-30
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based