Provider Demographics
NPI:1033876735
Name:GALVESTON HOSPICE CARE LLC
Entity type:Organization
Organization Name:GALVESTON HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:CERISSE
Authorized Official - Last Name:MOLATO-OLILA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-661-0358
Mailing Address - Street 1:26717 WESTHEIMER PKWY STE 303
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-8058
Mailing Address - Country:US
Mailing Address - Phone:346-661-0358
Mailing Address - Fax:832-307-1011
Practice Address - Street 1:26717 WESTHEIMER PKWY STE 303
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-8058
Practice Address - Country:US
Practice Address - Phone:346-661-0358
Practice Address - Fax:832-307-1011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-17
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based