Provider Demographics
NPI:1083020093
Name:TRIO HOSPICE INC
Entity Type:Organization
Organization Name:TRIO HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VAN
Authorized Official - Middle Name:PHAN
Authorized Official - Last Name:VILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-728-6336
Mailing Address - Street 1:4444 CORONA DR
Mailing Address - Street 2:SUITE 205 B
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-4324
Mailing Address - Country:US
Mailing Address - Phone:361-779-5456
Mailing Address - Fax:361-991-0181
Practice Address - Street 1:4444 CORONA DR
Practice Address - Street 2:SUITE 205 B
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4324
Practice Address - Country:US
Practice Address - Phone:361-779-5456
Practice Address - Fax:361-991-0181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-10
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based