Provider Demographics
NPI:1073654737
Name:ESPERANZA HEALTH SYSTEMS LTD
Entity Type:Organization
Organization Name:ESPERANZA HEALTH SYSTEMS LTD
Other - Org Name:LA HACIENDA SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ART
Authorized Official - Middle Name:
Authorized Official - Last Name:VANDIVIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-238-4222
Mailing Address - Street 1:PO BOX 1
Mailing Address - Street 2:
Mailing Address - City:HUNT
Mailing Address - State:TX
Mailing Address - Zip Code:78024-0001
Mailing Address - Country:US
Mailing Address - Phone:830-238-4222
Mailing Address - Fax:830-238-4386
Practice Address - Street 1:11110 METRIC BLVD
Practice Address - Street 2:STE B
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78758
Practice Address - Country:US
Practice Address - Phone:512-835-1994
Practice Address - Fax:512-835-7076
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ESPERANZA HEALTH SYSTEMS LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-08
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX122-C261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder