Provider Demographics
NPI:1073188538
Name:ESTRELLA HOSPICE INC
Entity Type:Organization
Organization Name:ESTRELLA HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLAPANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-514-6171
Mailing Address - Street 1:3333 LEE PKWY STE 611
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-5134
Mailing Address - Country:US
Mailing Address - Phone:707-514-6171
Mailing Address - Fax:
Practice Address - Street 1:3333 LEE PKWY STE 611
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75219-5134
Practice Address - Country:US
Practice Address - Phone:707-514-6171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based