Provider Demographics
NPI:1134994031
Name:PRECOR HOSPICE INC.
Entity type:Organization
Organization Name:PRECOR HOSPICE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-550-2547
Mailing Address - Street 1:3350 MCFADDIN ST STE 1
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-5037
Mailing Address - Country:US
Mailing Address - Phone:409-402-0158
Mailing Address - Fax:409-403-8540
Practice Address - Street 1:3350 MCFADDIN ST STE 1
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77706-5037
Practice Address - Country:US
Practice Address - Phone:409-402-0158
Practice Address - Fax:409-403-8540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2025-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based