Provider Demographics
NPI:1033580675
Name:ZOE HOSPICE LLC
Entity Type:Organization
Organization Name:ZOE HOSPICE LLC
Other - Org Name:LA DIFERENCIA HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRIOS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CHPN
Authorized Official - Phone:210-395-3395
Mailing Address - Street 1:933 PLEASANTON RD STE 109
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78214-1657
Mailing Address - Country:US
Mailing Address - Phone:210-395-3395
Mailing Address - Fax:210-334-2882
Practice Address - Street 1:933 PLEASANTON RD STE 109
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78214-1657
Practice Address - Country:US
Practice Address - Phone:210-395-3395
Practice Address - Fax:210-334-2882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-08
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based