Provider Demographics
NPI:1043780075
Name:PAX ET VITA HOSPICE AGENCY LLC
Entity type:Organization
Organization Name:PAX ET VITA HOSPICE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARLITO
Authorized Official - Middle Name:
Authorized Official - Last Name:BUHAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-687-2793
Mailing Address - Street 1:830 JULIE RIVERS DR STE 602
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-2878
Mailing Address - Country:US
Mailing Address - Phone:346-901-0194
Mailing Address - Fax:281-239-0543
Practice Address - Street 1:830 JULIE RIVERS DR STE 602
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-2878
Practice Address - Country:US
Practice Address - Phone:346-901-0194
Practice Address - Fax:281-239-0543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-03
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based