Provider Demographics
NPI:1538599147
Name:OMEGALIFE HOSPICE OF TEXAS, INC.
Entity type:Organization
Organization Name:OMEGALIFE HOSPICE OF TEXAS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOAQUIN
Authorized Official - Middle Name:C
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-518-5508
Mailing Address - Street 1:5625 CYPRESS CREEK PKWY STE 418
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-4207
Mailing Address - Country:US
Mailing Address - Phone:832-912-5927
Mailing Address - Fax:832-912-5928
Practice Address - Street 1:5625 CYPRESS CREEK PKWY STE 418
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-4207
Practice Address - Country:US
Practice Address - Phone:832-912-5927
Practice Address - Fax:832-912-5928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-18
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based