Provider Demographics
NPI:1053053082
Name:SANTA FE HOSPICE LLC
Entity Type:Organization
Organization Name:SANTA FE HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PRISCILLA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-256-3494
Mailing Address - Street 1:PO BOX 507
Mailing Address - Street 2:
Mailing Address - City:BENAVIDES
Mailing Address - State:TX
Mailing Address - Zip Code:78341-0507
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:119 W. RAILROAD AVE.
Practice Address - Street 2:SUITE B
Practice Address - City:BENAVIDES
Practice Address - State:TX
Practice Address - Zip Code:78341
Practice Address - Country:US
Practice Address - Phone:361-877-9098
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-11
Last Update Date:2022-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based