Provider Demographics
NPI:1124591102
Name:GENTLE PARTNERS IN HOSPICE LLC
Entity Type:Organization
Organization Name:GENTLE PARTNERS IN HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:ANGELICA
Authorized Official - Last Name:LUNA
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:210-908-9616
Mailing Address - Street 1:1635 NE LOOP 410 STE 501
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209
Mailing Address - Country:US
Mailing Address - Phone:210-908-9616
Mailing Address - Fax:210-908-9616
Practice Address - Street 1:1635 NE LOOP 410 STE 501
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209
Practice Address - Country:US
Practice Address - Phone:210-908-9616
Practice Address - Fax:210-908-9616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-02
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX017467OtherTDHHS LICENSE
TX019612OtherTDHHS UPDATED LICENSE AFTER CHOW APPROVAL