Provider Demographics
NPI:1174084743
Name:HEIGHTS HOSPICE CARE LLC
Entity type:Organization
Organization Name:HEIGHTS HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RODPA
Authorized Official - Middle Name:
Authorized Official - Last Name:TUBLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-372-0443
Mailing Address - Street 1:1419 W 24TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1615
Mailing Address - Country:US
Mailing Address - Phone:346-571-7928
Mailing Address - Fax:346-406-2128
Practice Address - Street 1:1419 WEST 24TH STREET
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008
Practice Address - Country:US
Practice Address - Phone:832-372-0447
Practice Address - Fax:713-647-9358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-27
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community BasedGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX02439982-01Medicaid