ELYSIAN HOSPICE HOUSTON LLC NPI 1881053643

NPI Information

NPI: 1881053643
Provider Name: ELYSIAN HOSPICE HOUSTON LLC

Doing Business As: ELYSIAN HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 45D2028751

Address:
11104 W AIRPORT BLVD STE 212B
STAFFORD, TX
ZIP 77477
Phone: (281) 333-2458
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ELYSIAN HOSPICE HOUSTON LLC is a hospice care community based in Stafford, TX. ELYSIAN HOSPICE HOUSTON LLC NPI is 1881053643. The provider is registered as an organization entity type.
The provider Is Doing Business As Elysian Hospice.

The provider's business location address is:

11104 W AIRPORT BLVD STE 212B
STAFFORD, TX
ZIP 77477-197
Phone: (281) 333-2458
Fax: (281) 335-5539

The provider's authorized official is Robin F. Underhill .
The authorized official title is Chief Executive Officer and has the following contact phone number (214) 954-4114.

The CLIA number assigned to this NPI record is 45D2028751 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2016 and was last updated on 10/20/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	315D00000X	Hospice, Inpatient		APPLIED FOR	TEXAS	No
2	251G00000X	Hospice Care, Community Based		APPLIED FOR	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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