Provider Demographics
NPI:1538739982
Name:METHODIST HOSPICE INC
Entity type:Organization
Organization Name:METHODIST HOSPICE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JACKELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRERA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-814-0101
Mailing Address - Street 1:23303 PARKWAY LAKES LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2899
Mailing Address - Country:US
Mailing Address - Phone:832-814-0101
Mailing Address - Fax:281-966-1722
Practice Address - Street 1:23303 PARKWAY LAKES LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-2899
Practice Address - Country:US
Practice Address - Phone:832-814-0101
Practice Address - Fax:281-966-1722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-28
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based