Provider Demographics
NPI:1871930776
Name:CEST LA VIE HOSPICE AND PALLIATIVE CARE, INC.
Entity type:Organization
Organization Name:CEST LA VIE HOSPICE AND PALLIATIVE CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SERGE
Authorized Official - Middle Name:
Authorized Official - Last Name:UKAWILU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-408-7722
Mailing Address - Street 1:6671 SOUTHWEST FWY STE 310
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2212
Mailing Address - Country:US
Mailing Address - Phone:713-773-2153
Mailing Address - Fax:713-474-1697
Practice Address - Street 1:6671 SOUTHWEST FWY STE 310
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2212
Practice Address - Country:US
Practice Address - Phone:713-773-2153
Practice Address - Fax:713-474-1697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-31
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX822061415Medicaid