Provider Demographics
NPI:1396812459
Name:E HARRIS COUNTY HOSPICE SERVICES INC
Entity type:Organization
Organization Name:E HARRIS COUNTY HOSPICE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:IPE
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-450-4500
Mailing Address - Street 1:PO BOX 96495
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77213-6495
Mailing Address - Country:US
Mailing Address - Phone:713-450-4500
Mailing Address - Fax:713-450-4006
Practice Address - Street 1:1313 HOLLAND AVE
Practice Address - Street 2:BLDG 2
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77029
Practice Address - Country:US
Practice Address - Phone:713-450-4500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX003529251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX451620Medicare Oscar/Certification