Provider Demographics
NPI:1073005385
Name:VARA HOSPICE, LLC
Entity Type:Organization
Organization Name:VARA HOSPICE, LLC
Other - Org Name:VARA HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALVARADO
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:833-663-8271
Mailing Address - Street 1:203 SABAL LOOP
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-5015
Mailing Address - Country:US
Mailing Address - Phone:833-663-8271
Mailing Address - Fax:833-663-8272
Practice Address - Street 1:1520 E SAN PEDRO ST STE 102
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-5479
Practice Address - Country:US
Practice Address - Phone:833-663-8271
Practice Address - Fax:833-663-8272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-01
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
No291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX019073OtherTEXAS HEALTH AND HUMAN SERVICES COMMISSION