Provider Demographics
NPI:1730894221
Name:TESHUVA HOSPICE LLC
Entity type:Organization
Organization Name:TESHUVA HOSPICE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AWELE
Authorized Official - Middle Name:JENNIFER
Authorized Official - Last Name:HANSEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-404-7882
Mailing Address - Street 1:7027 PAVILION DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6947
Mailing Address - Country:US
Mailing Address - Phone:281-404-7882
Mailing Address - Fax:281-404-7947
Practice Address - Street 1:7027 PAVILION DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6947
Practice Address - Country:US
Practice Address - Phone:281-404-7882
Practice Address - Fax:281-404-7947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based